Individual
SHANNON LARRIBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 ATRISCO VISTA BLVD SW TRLR 734, ALBUQUERQUE, NM 87121-8721
(505) 238-9362
Mailing address
224 ATRISCO VISTA BLVD SW TRLR 734, ALBUQUERQUE, NM 87121-8721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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