Most Relevant Information
Provider Data
NPI Number: | 1003532821 |
Provider Name: | MARIAH ANGELICA GUTIERREZ |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: |
Most Important Dates
Enumeration Date: | 10/13/2022 |
Last Updated: | 10/13/2022 |
Provider Practice Location
536 LOS LENTES RD SE
LOS LUNAS
NM
870317052
Practice Location Phone/Fax
Phone: | 5055141530 |
Fax: |
Provider Mailing Location
72 JOURNEY RD
LOS LUNAS
NM
870318037
Provider Mailing Phone/Fax
Phone: | 5055141530 |
Fax: |