Individual
MIRIAM EDITH MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 GERALD AVE SE, ALBUQUERQUE, NM 87106-5048
(719) 231-8595
Mailing address
1332 GERALD AVE SE, ALBUQUERQUE, NM 87106-5048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/15/2021
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