| NPI | 1043763972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA ULIBARRI HORAN Psycho Educational Diagnostician 505-699-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 350792) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NM 350792) |
| 251300000X Local Education Agency (LEA) (Licence: NM 350792) | |
| 251B00000X Case Management (Licence: NM 350792) | |
| 251C00000X (Licence: NM 350792) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NM 350792) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |