Most Relevant Information
Provider Data
NPI Number: | 1003246059 |
Provider Name: | TAEJA KLUGE M.S., BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 1-13-14764 |
Most Important Dates
Enumeration Date: | 11/12/2013 |
Last Updated: | 10/10/2022 |
Provider Practice Location
8300 JEFFERSON ST NE STE B
ALBUQUERQUE
NM
871131734
Practice Location Phone/Fax
Phone: | 3103833514 |
Fax: |
Provider Mailing Location
8300 JEFFERSON ST NE STE B
ALBUQUERQUE
NM
871131734
Provider Mailing Phone/Fax
Phone: | 3103833514 |
Fax: |