Miranda Chavez

NPI #1417599192 in Deming, New Mexico

Provider Information

NPI Number: 1417599192
Entity Type: Individual
Name: Miranda Chavez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2019
Last Updated: Oct 14, 2019

Practice Location

Address: 313 S 12TH ST
City: Deming
State: New Mexico
ZIP Code: 88030-3307
Phone: (575) 936-6046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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