Individual
KARA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5409 SUMMER RIDGE RD NW, ALBUQUERQUE, NM 87114-3422
(505) 450-4264
Mailing address
5409 SUMMER RIDGE RD NW, ALBUQUERQUE, NM 87114-3422
(505) 450-4264
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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