Individual
BRIANNA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 WASHINGTON ST NE, ALBUQUERQUE, NM 87108-1153
(505) 302-5383
(505) 295-4189
Mailing address
338 WASHINGTON ST NE, ALBUQUERQUE, NM 87108-1153
(505) 302-5383
(505) 295-4189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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