Stephen Branch
Day Training/Habilitation Specialist in Belen, NM. Individual provider (NPI-1).
NPI number1245502467
StatusActive
Last updated in NPPESFeb 3, 2012
Details
- NPI
- 1245502467
- Entity type
- Individual (NPI-1)
- Name
- Stephen Branch
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2012
- Last updated
- Feb 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
816 La Luz DrBelen, NM 87002-3343
Phone 505-450-3920
Mailing address
816 La Luz DrBelen, NM 87002-3343
Phone 505-450-3920
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