Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003128000 |
---|---|
Provider Name | Arturo Calderon |
First Address | Albuquerque, NM 87107-3752 |
Second Address | Albuquerque, NM 87107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2010 |
Last Update Date | 07/07/2010 |