Organization
MOUNTAIN ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE AZEVEDO M.ED. (BCBA)
(817) 526-8290
Entity
Organization
Contact information
Practice address
2300 SUNSTONE DR NW, ALBUQUERQUE, NM 87120-8024
(505) 333-8718
Mailing address
2300 SUNSTONE DR NW, ALBUQUERQUE, NM 87120-8024
(505) 333-8718
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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