Most Relevant Information
Provider Data
| NPI Number: | 1003544156 |
| Provider Name: | GENESIS LINDA GORDIANO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2022 |
| Last Updated: | 08/08/2022 |
Provider Practice Location
4204 MOLINO CT SW
ALBUQUERQUE
NM
871218527
Practice Location Phone/Fax
| Phone: | 7142090595 |
| Fax: |
Provider Mailing Location
4204 MOLINO CT SW
ALBUQUERQUE
NM
871218527
Provider Mailing Phone/Fax
| Phone: | 7142090595 |
| Fax: |