Individual
AUSTIN CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 COUNTRY CLUB DR SE, RIO RANCHO, NM 87124-2255
(505) 977-9939
Mailing address
900 COUNTRY CLUB DR SE, RIO RANCHO, NM 87124-2255
(505) 977-9939
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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