Individual
CODY MARSHWAN VASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2017 YALE BLVD SE, ALBUQUERQUE, NM 87106-4817
(505) 295-3110
Mailing address
1805 CHICOMA RD NE, RIO RANCHO, NM 87144-2500
(708) 916-6863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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