Montera Health New Mexico Llc | |
530b Harkle Rd Ste 100 Santa Fe NM 87505-4739 | |
(609) 598-0070 | |
Not Available |
Full Name | Montera Health New Mexico Llc |
---|---|
Speciality | Behavior Analyst |
Location | 530b Harkle Rd Ste 100, Santa Fe, New Mexico |
Authorized Official Name and Position | Qingqing Mao (ADMIN) |
Authorized Official Contact | 4158051725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Montera Health New Mexico Llc 530b Harkle Rd Ste 100 Santa Fe NM 87505-4739 Ph: (609) 598-0070 | Montera Health New Mexico Llc 530b Harkle Rd Ste 100 Santa Fe NM 87505-4739 Ph: (609) 598-0070 |
NPI Number | 1053065672 |
---|---|
Provider Enumeration Date | 02/11/2022 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053065672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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