Individual
IZAIAH ALEXANDER INIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
(575) 520-6074
Mailing address
301 PERKINS DR, LAS CRUCES, NM 88005-3248
(575) 526-6682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76654
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/28/2020
Last updated
12/23/2024
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