Individual
JAYLENNE LOVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 MAIN ST NE, LOS LUNAS, NM 87031
(505) 866-2440
Mailing address
343 MAIN ST NE, LOS LUNAS, NM 87031
(505) 866-2440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
01/09/2026
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