Individual
SEAN DAVID STOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7408 CISCO RD NW, ALBUQUERQUE, NM 87120-3613
(505) 720-0742
Mailing address
7408 CISCO RD NW, ALBUQUERQUE, NM 87120-3613
(505) 720-0742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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