Individual
BRIANA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 LAS MARIAS DR SE, RIO RANCHO, NM 87124-1269
(718) 215-5311
Mailing address
612 LAS MARIAS DR SE, RIO RANCHO, NM 87124-1269
(718) 215-5311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
510845617
NM
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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