Individual
MISS ALEXIS JALENE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9516 AVENIDA DE LA LUNA NE, ALBUQUERQUE, NM 87111-1602
(575) 241-6866
Mailing address
9516 AVENIDA DE LA LUNA NE, ALBUQUERQUE, NM 87111-1602
(575) 241-6866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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