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Annalyse Segobia

Behavior Technician in Albuquerque, NM. Individual provider (NPI-1).

NPI number1164097317
StatusActive
Last updated in NPPESMay 20, 2021

Details

NPI
1164097317
Entity type
Individual (NPI-1)
Name
Annalyse Segobia
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2021
Certification date
May 20, 2021
Last updated
May 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

11000 Spain Rd Ne Ste A
Albuquerque, NM 87111-1896

Phone 855-581-0100

Mailing address

2080 N Tustin Ave Ste B
Santa Ana, CA 92705-7875

Phone 855-581-0100

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