Individual
TAMMY BILLSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3051 COPPER CREEK RD SE, RIO RANCHO, NM 87124-7239
(505) 399-0302
Mailing address
3051 COPPER CREEK RD SE, RIO RANCHO, NM 87124-7239
(505) 399-0302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NM
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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