Individual
MARISSA M MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7515 AUTUMN SKY RD, ALBUQUERQUE, NM 87121-6437
(505) 702-6331
Mailing address
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120-1173
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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