Ibarra Polania, Angie

Ibarra Polania, Angie is an individual health care provider with primary practice located at 1255 Country Club Rd , Santa Teresa NM 88008-9707. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ibarra Polania, Angie can be contacted via phone (575) 288-1881.

Contact Information

Primary practice address
1255 Country Club Rd Santa Teresa NM 88008-9707
Phone: (575) 288-1881
Fax: (575) 288-1889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1306618178
LBN Legal business name Ibarra Polania, Angie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2023
Last updated Oct 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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