| Meaningful Change Learning Services, Llc | |
|
2892 Pueblo Bonito Santa Fe NM 87507-2549 | |
| (508) 733-6392 | |
| Not Available |
| Full Name | Meaningful Change Learning Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2892 Pueblo Bonito, Santa Fe, New Mexico |
| Authorized Official Name and Position | Shane Knoll (CEO) |
| Authorized Official Contact | 5086658044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meaningful Change Learning Services, Llc 2892 Pueblo Bonito Santa Fe NM 87507-2549 Ph: () - | Meaningful Change Learning Services, Llc 2892 Pueblo Bonito Santa Fe NM 87507-2549 Ph: (508) 733-6392 |
| NPI Number | 1548623812 |
|---|---|
| Provider Enumeration Date | 04/03/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548623812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-21909 (New Mexico) | Primary |
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