Individual
ASHTIEN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 WELLSPRING AVE SE STE D, RIO RANCHO, NM 87124-4956
(505) 828-3837
Mailing address
1817 WELLSPRING AVE SE STE D, RIO RANCHO, NM 87124-4956
(505) 828-3837
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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