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Individual

MYRNA J TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
2919 HILLRISE DR, LAS CRUCES, NM 88011-4701
(575) 522-9500
(575) 523-1108
Mailing address
2919 HILLRISE DR, LAS CRUCES, NM 88011-4701
(575) 522-9500
(575) 523-1108

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29373395
NM
Enumeration date
10/08/2010
Last updated
07/09/2020
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