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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDY R MAXSON

Active Sole Proprietor

MR. RANDY R MAXSON is a Behavior Technician healthcare provider located in BLOOMFIELD, New Mexico. NPI 1043702442 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · BLOOMFIELD, NM

Registration Details

NPI Number
1043702442
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2018 (8.0240734559861 yrs)
Last Updated
May 31, 2018
Sole Proprietor
Yes

Practice Information

Address
23 ROAD 5507
BLOOMFIELD, NM, 874139313
Browse NM providers · Browse ZIP 87413
Phone
7079008073
Fax
7078126124
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in BLOOMFIELD, NM

Name Credential NPI
NIDA NAQVI 1679017347
KYLIE SPENCER MANGAN 1598397424
TAYLOR DAWN SIMMONS 1194353045
JILLIAN BROWN 1659984730
AMBER GILES 1376142935
KATRINA YAZZIE 1982209540
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.