| Rogue Autism Rebels | |
|
10899 Montgomery Blvd Ne Ste B Albuquerque NM 87111-3935 | |
| (505) 585-4135 | |
| Not Available |
| Full Name | Rogue Autism Rebels |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10899 Montgomery Blvd Ne Ste B, Albuquerque, New Mexico |
| Authorized Official Name and Position | Amber Suarez (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7023284634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Autism Rebels 7600 S Rainbow Blvd Apt 2145 Las Vegas NV 89139-0500 Ph: () - | Rogue Autism Rebels 10899 Montgomery Blvd Ne Ste B Albuquerque NM 87111-3935 Ph: (505) 585-4135 |
| NPI Number | 1679128565 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679128565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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