Individual
ERIKA CHAVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 S LEA AVE, ROSWELL, NM 88203-4051
(575) 420-2163
Mailing address
2802 S LEA AVE, ROSWELL, NM 88203-4051
(575) 420-2163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NM
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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