Individual
PATRICIA A. WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
14 RAVEN RIDGE ROAD, PECOS, NM 87552-0603
(505) 603-5245
Mailing address
PO BOX 603, GLORIETA, NM 87535-0603
(505) 603-5245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-00-0212
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-00-0212
BEHAVIOR ANALYSIS CERTIFICATION BOARD
NM
Enumeration date
09/13/2007
Last updated
04/12/2026
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