Individual
KEIVAN TCHOUBINEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 COLUMBIA DR NE, ALBUQUERQUE, NM 87106-2605
(805) 910-8551
Mailing address
1321 COLUMBIA DR NE, ALBUQUERQUE, NM 87106-2605
(805) 910-8551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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