Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003283763 |
---|---|
Provider Name | Vanessa Alvillar |
First Address | Albuquerque, NM 87102 |
Second Address | Albuquerque, NM 87102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2015 |
Last Update Date | 21/08/2018 |