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PATRICIA A. WEIGAND B.C.B.A.

Behavioral Analyst

Pecos, New Mexico

Provider NPI: 1902091895

Provider Information:
 PATRICIA A. WEIGAND B.C.B.A.
Gender: F
Not Sole Proprietor

Practice Location:
14 RAVEN RIDGE ROAD  PECOS, NM 87552 US
Tel: 505-603-5245  Fax: --

Business Mailing Address:
PO BOX 603  GLORIETA, NM 87535 US
Tel: 505-603-5245  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

NM1-00-0212

Other Provider Identifiers:

IssuerNumberStateType
BEHAVIOR ANALYSIS CERTIFICATION BOARD1-00-0212NM01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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