Individual
MRS. TRISHA IDA IANNOTTA-BIESZCZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1350 HILLRISE CIR, LAS CRUCES, NM 88011-4759
(575) 288-1881
(575) 288-1889
Mailing address
1350 HILLRISE CIR, LAS CRUCES, NM 88011-4759
(575) 288-1881
(575) 288-1889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-23620
IL
103K00000X
Behavior Analyst
Primary
BCBA-1-16-23620
NM
Other
Enumeration date
09/29/2016
Last updated
01/09/2024
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