Individual
KATHLEEN MONIQUE MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3299 ADAMS ST NE, ALBUQUERQUE, NM 87110-8052
(505) 810-1133
Mailing address
3299 ADAMS ST NE, ALBUQUERQUE, NM 87110-8052
(505) 810-1133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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