Individual
ROBERTA LEE CASADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 CORRAL VIEJO, PLACITAS, NM 87043-9154
(505) 771-2347
Mailing address
9 CORRAL VIEJO, PLACITAS, NM 87043-9154
(505) 771-2347
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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