MAXILEA ISOM

Behavior Technician

Active Individual
NPI: 1346776804

Practice Address

2079 EGLIN AVE APT A
Holloman, Afb, NM 88330

Phone: (347) 485-8386

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1346776804 is the National Provider Identifier for MAXILEA ISOM, a Behavior Technician provider located in Holloman, Afb, NM. This NPI was enumerated on May 3, 2017.
MAXILEA ISOM practices at 2079 EGLIN AVE APT A, Holloman, Afb, NM 88330.

Quick Facts

NPI
1346776804
Type
Individual
Enumerated
May 3, 2017
Last Updated
May 3, 2017

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