Kylie Spencer Mangan

NPI #1598397424 in Bloomfield, New Mexico

Provider Information

NPI Number: 1598397424
Entity Type: Individual
Name: Kylie Spencer Mangan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 8, 2020
Last Updated: Feb 8, 2020

Practice Location

Address: 9 ROAD 5287
City: Bloomfield
State: New Mexico
ZIP Code: 87413-9749
Phone: (505) 716-3571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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