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Individual

MR. TRAVIS LEE QUINTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 272-0134
Mailing address
1719 ANDERSON PL SE, ALBUQUERQUE, NM 87108-4405
(505) 270-2922

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47765
NM
106S00000X
Behavior Technician

Other

Enumeration date
09/29/2020
Last updated
08/12/2021
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