Alyssia Ramona Baca, AA

NPI #1659926764 in Chimayo, New Mexico

Provider Information

NPI Number: 1659926764
Entity Type: Individual
Name: Alyssia Ramona Baca, AA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: AA
Enumeration Date: Aug 6, 2019
Last Updated: Aug 6, 2019

Practice Location

Address: 324 JUAN MEDINA ROAD
City: Chimayo
State: New Mexico
ZIP Code: 87522
Phone: (505) 927-1303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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