PAUL/VIV Graham
PAUL/VIV Graham is a Behavior Technician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.
- Licensed in
- NM
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
12836 Lomas Blvd NE Ste CAlbuquerque, NM 87112-6200
Phone: (505) 710-6530
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence SWB-2024-0565 (NM) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1891421806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | August 1, 2022 |
| Last updated in NPPES | June 13, 2024 |
| Certification date | June 13, 2024 |
| Mailing address | 12836 Lomas Blvd Ne Ste C, Albuquerque, NM 87112-6200 |
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