Individual
ELISA CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.M., BCBA, LBA
Contact information
Practice address
6801 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4379
(505) 605-6572
(505) 944-1927
Mailing address
6801 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4379
(505) 738-5906
(505) 944-1927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52508
TX
103K00000X
Behavior Analyst
4482
TX
Other
Enumeration date
09/03/2021
Last updated
07/22/2024
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