Individual
MR. KASE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 GRAL TREVINO DR SE, RIO RANCHO, NM 87124-1271
(505) 366-9991
Mailing address
1200 N WHITE SANDS BLVD STE 121, ALAMOGORDO, NM 88310-6774
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2019
Last updated
01/08/2022
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