Individual
STEPHANIE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10511 GOLF COURSE RD NW STE 103, ALBUQUERQUE, NM 87114-5917
(505) 856-6880
Mailing address
7820 COORS BLVD SW, ALBUQUERQUE, NM 87121-7308
(575) 805-3373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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