Individual
MARIA GUADALUPE MERINO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10320 COTTONWOOD PARK NW STE A, ALBUQUERQUE, NM 87114-7008
(505) 250-5204
Mailing address
524 COLE SPRINGS DR SW, ALBUQUERQUE, NM 87121-7691
(505) 577-1352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-42822
NM
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
01/25/2017
Last updated
09/18/2023
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