Individual
MICHAEL TYLER GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
816 9TH ST, ALAMOGORDO, NM 88310-6416
(575) 495-9911
(910) 229-2714
Mailing address
816 9TH ST, ALAMOGORDO, NM 88310-6416
(575) 495-9911
(910) 229-2714
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-445210
NM
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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