Mytyl Renee Salazar

NPI #1639681380 in Capitan, New Mexico

Provider Information

NPI Number: 1639681380
Entity Type: Individual
Name: Mytyl Renee Salazar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 2, 2017
Last Updated: Nov 2, 2017

Practice Location

Address: 102 S. NOGAL AVE.
City: Capitan
State: New Mexico
ZIP Code: 88316-0611
Phone: (575) 937-9193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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