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NPI Code Detail

MEDICARE: GRECIA E DUARTE LARREA

MEDICARE: GRECIA E DUARTE LARREA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-26-90784NM

General Provider Information

NPI Number : 1841982402
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRECIA E DUARTE LARREA
Provider Business Mailing Address
First Line : 1350 HILLRISE CIR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4759
Country : US
Telephone Number : 575-522-9500
Fax Number : 575-523-1108
Provider Business Practice Location Address
First Line : 1350 HILLRISE CIR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4759
Country : US
Telephone Number : 575-522-9500
Fax Number : 575-523-1108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 06/22/2026

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Directions to “ GRECIA E DUARTE LARREA ” Practice Location

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