Individual
MRS. TATUM I AVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 ASPEN DR, ALAMOGORDO, NM 88310-4831
(858) 888-5614
Mailing address
2300 ASPEN DR, ALAMOGORDO, NM 88310-4831
(858) 888-5614
(866) 608-5560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
12/03/2024
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