Individual
COLLIN LLOYD BRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 325-0238
Mailing address
3927 MANCHESTER ST, FARMINGTON, NM 87402-4678
(479) 313-2050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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