SAMUEL SUPRANOVICH

ALBUQUERQUE, NM
NPI1538810486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-01-12
Last Update Date2022-01-12
Business Address
SAMUEL SUPRANOVICH
8500 WASHINGTON ST NE STE A1
ALBUQUERQUE, NM 87113-1861
Phone number: 505-828-3837
Mailing Address
SAMUEL SUPRANOVICH
8100 WYOMING BLVD NE STE 406
ALBUQUERQUE, NM 87113-1946
Phone number:
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