Ilyssa Kisa
NPI #1083594923 in Santa Teresa, New Mexico
Provider Information
- NPI Number
- 1083594923
- Entity Type
- Individual
- Name
- Ilyssa Kisa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 3, 2025
- Last Updated
- Sep 3, 2025
Practice Location
- Address
- 1255 COUNTRY CLUB RD STE D
- City
- Santa Teresa
- State
- New Mexico
- ZIP Code
- 88008-9707
- Phone
- (575) 288-1881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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