Most Relevant Information
Provider Data
NPI Number: | 1003521980 |
Provider Name: | AVERI MANN |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 01/16/2023 |
Last Updated: | 01/16/2023 |
Provider Practice Location
8500 WASHINGTON ST NE STE A1
ALBUQUERQUE
NM
871131861
Practice Location Phone/Fax
Phone: | 5058283837 |
Fax: |
Provider Mailing Location
8100 WYOMING BLVD NE STE 406
ALBUQUERQUE
NM
871131946
Provider Mailing Phone/Fax
Phone: | |
Fax: |