Individual
BREANA SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6609 COUNTRY KNOLL CT NW, ALBUQUERQUE, NM 87114-4358
(505) 917-5082
Mailing address
6609 COUNTRY KNOLL CT NW, ALBUQUERQUE, NM 87114-4358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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