NPI 1023516358
Kassandra Kara Coronado,, BA
Practice location
- Address
- 110 E Mescalero Rd, Roswell, NM 88201-6542
- Phone
- (575) 755-2272
- Fax
- (575) 622-3325
Registered specialties (2)
Case Manager/Care Coordinator
Primary
Behavior Technician
Registry record
- NPI
- 1023516358
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Feb 2018
- Record last updated
- 24 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.