Organization
ZIA ADVANCED BEHAVIOR ANALYTICS
Active
Other names
Zia ABA Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE N MANCIL BCBA (THERAPY DIRECTOR)
(575) 415-5220
Entity
Organization
Contact information
Practice address
117 SIERRA BLANCA AVE, TULAROSA, NM 88352-2029
(575) 415-5220
Mailing address
117 SIERRA BLANCA AVE, TULAROSA, NM 88352-2029
(575) 415-5220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
11622314
NM
252Y00000X
Early Intervention Provider Agency
Primary
11622314
NM
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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