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Caitlin Shane

Day Training/Habilitation Specialist in Albuquerque, NM. Individual provider (NPI-1).

NPI number1982012183
StatusActive
Last updated in NPPESJul 31, 2014

Details

NPI
1982012183
Entity type
Individual (NPI-1)
Name
Caitlin Shane
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2014
Last updated
Jul 31, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

8416 Sonoma Valley Rd Ne
Albuquerque, NM 87122-2626

Phone 505-610-4412

Mailing address

8416 Sonoma Valley Rd Ne
Albuquerque, NM 87122-2626

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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