Provider Demographics
NPI:1417235656
Name:PILAR M. SANJUAN, PH.D. LLC
Entity Type:Organization
Organization Name:PILAR M. SANJUAN, PH.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:SANJUAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:505-977-1082
Mailing Address - Street 1:9426 INDIAN SCHOOL RD NE STE 1
Mailing Address - Street 2:BEHAVIOR THERAPY ASSOCIATES, LLP
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2887
Mailing Address - Country:US
Mailing Address - Phone:505-345-6100
Mailing Address - Fax:505-345-4531
Practice Address - Street 1:9426 INDIAN SCHOOL RD NE STE 1
Practice Address - Street 2:BEHAVIOR THERAPY ASSOCIATES, LLP
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2887
Practice Address - Country:US
Practice Address - Phone:505-345-6100
Practice Address - Fax:505-345-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1083103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty