Shannon Lee Kmatz

NPI #1265247761 in Rio Communities, New Mexico

Provider Information

NPI Number: 1265247761
Entity Type: Individual
Name: Shannon Lee Kmatz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 11, 2025
Last Updated: Feb 11, 2025

Practice Location

Address: 200 CRAIG CIR
City: Rio Communities
State: New Mexico
ZIP Code: 87002-6106
Phone: (505) 440-5835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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