Most Relevant Information
Provider Data
| NPI Number: | 1003386210 |
| Provider Name: | KAIJA ROZE BALES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/30/2018 |
| Last Updated: | 05/25/2021 |
Provider Practice Location
4920 WYOMING BLVD NE STE A1
ALBUQUERQUE
NM
871112060
Practice Location Phone/Fax
| Phone: | 5054204126 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |