NPI 1497436463

Gary B. Mares

Practitioner Behavior Technician Espanola, NM

Practice location

Address: 807 Calle Chamisal, Espanola, NM 87532-2976
Phone: (505) 372-4511
Mailing address: 1125 10th St NW, Albuquerque, NM 87104-2101

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 1025 (NM)

Other Behavior Technician providers in New Mexico →

Registry record

NPI: 1497436463
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2023
Record last updated: 31 Jul 2023

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.