Sandy Wagatsuma

NPI #1366013658 in Los Alamos, New Mexico

Provider Information

NPI Number: 1366013658
Entity Type: Individual
Name: Sandy Wagatsuma
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 7, 2021
Last Updated: Jul 7, 2021

Practice Location

Address: 1350 CENTRAL AVE # 102
City: Los Alamos
State: New Mexico
ZIP Code: 87544-3244
Phone: (505) 551-1241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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