Individual
ALBERTINE GUEALBAYE ANMADJI PSR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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