Individual
REANNON NICHOLE LEES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 COAL AVE SW, ALBUQUERQUE, NM 87102-3772
(505) 464-7691
Mailing address
815 COAL AVE SW, ALBUQUERQUE, NM 87102-3772
(505) 464-7691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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