Individual
MRS. YUZETH G BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MAGUEY CT STE 1, SUNLAND PARK, NM 88063-9513
(575) 589-2400
Mailing address
716 W YANDELL DR APT 19, EL PASO, TX 79902-3868
(915) 503-8542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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