Individual
BETHANY PERNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LOMA LINDA LOOP NE, RIO RANCHO, NM 87124-4718
(505) 918-0840
Mailing address
400 LOMA LINDA LOOP NE, RIO RANCHO, NM 87124-4718
(505) 918-0840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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