Individual
CONSTANCE LEAH MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 MERCURY CIR SE, ALBUQUERQUE, NM 87116-3009
(505) 249-0794
Mailing address
4101 MERCURY CIR SE, ALBUQUERQUE, NM 87116-3009
(505) 249-0794
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/29/2018
Last updated
07/31/2020
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