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Individual

THERESAH BOATENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(844) 743-6506
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(844) 743-6506

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53459
NM

Other

Enumeration date
11/17/2016
Last updated
03/29/2023
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