Mateo Mercado
Behavior Technician in Albuquerque, NM. Individual provider (NPI-1).
NPI number1194506972
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1194506972
- Entity type
- Individual (NPI-1)
- Name
- Mateo Mercado
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2023
- Certification date
- Oct 9, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3311 Candelaria Rd Ne Ste 3311aAlbuquerque, NM 87107-1959
Phone 855-295-3276
Mailing address
1333 S Mayflower Ave Ste 220Monrovia, CA 91016-5239
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