Individual
ALICIA VERONICA PROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9039 SCHOONER RD NW, ALBUQUERQUE, NM 87121-1949
(505) 610-6754
Mailing address
9039 SCHOONER RD NW, ALBUQUERQUE, NM 87121-1949
(505) 610-6754
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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