| Prismtherapeutic Services Inc. | |
|
2200 Gun Club Rd Sw Albuquerque NM 87105-6415 | |
| (505) 681-7000 | |
| Not Available |
| Full Name | Prismtherapeutic Services Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2200 Gun Club Rd Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Andrea Montoya (OWNER) |
| Authorized Official Contact | 5056817000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prismtherapeutic Services Inc. 2200 Gun Club Rd Sw Albuquerque NM 87105-6415 Ph: () - | Prismtherapeutic Services Inc. 2200 Gun Club Rd Sw Albuquerque NM 87105-6415 Ph: (505) 681-7000 |
| NPI Number | 1497114003 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497114003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | 4368 (New Mexico) | Secondary |
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