| Pediatric Therapy Playground | |
|
1631 Vista De Colinas Dr Se Rio Rancho NM 87124-3070 | |
| (910) 484-1711 | |
| (919) 869-1685 |
| Full Name | Pediatric Therapy Playground |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1631 Vista De Colinas Dr Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Roberto Diosdado (CEO) |
| Authorized Official Contact | 9104841711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Therapy Playground 3649 Cape Center Dr Fayetteville NC 28304-4457 Ph: () - | Pediatric Therapy Playground 1631 Vista De Colinas Dr Se Rio Rancho NM 87124-3070 Ph: (910) 484-1711 |
| NPI Number | 1316391840 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316391840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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