Individual
EMILY KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1826 PASEO DE LA CONQUISTADORA, SANTA FE, NM 87501-2341
(712) 326-4507
Mailing address
1826 PASEO DE LA CONQUISTADORA, SANTA FE, NM 87501-2341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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