Oliver M Mancilla, BT

NPI #1255001129 in Clovis, New Mexico

Provider Information

NPI Number
1255001129
Entity Type
Individual
Name
Oliver M Mancilla, BT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
BT
Enumeration Date
Sep 14, 2021
Last Updated
Sep 14, 2021

Practice Location

Address
201 E LLANO ESTACADO BLVD
City
Clovis
ZIP Code
88101-3708
Phone
(575) 763-9517

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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