Individual
RAY DIMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 MONTOYA ST NW, ALBUQUERQUE, NM 87104-1915
(505) 570-1913
Mailing address
1130 MONTOYA ST NW, ALBUQUERQUE, NM 87104-1915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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