MR. Mark Dustin Tidwell

NPI #1285921999 in Albuquerque, New Mexico

Provider Information

NPI Number: 1285921999
Entity Type: Individual
Name: MR. Mark Dustin Tidwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 1, 2011
Last Updated: Jul 1, 2011

Practice Location

Address: 1218 GRIEGOS RD NW
City: Albuquerque
State: New Mexico
ZIP Code: 87107
Phone: (505) 345-8471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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