Individual
SHANE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3312 RED ROCK CT NE, RIO RANCHO, NM 87144-6597
(505) 451-9581
Mailing address
3312 RED ROCK CT NE, RIO RANCHO, NM 87144-6597
(505) 451-9581
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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