Provider Demographics
NPI:1932708898
Name:DOOLITTLE STRAIGHT, ANN MARIE JEAN
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:JEAN
Last Name:DOOLITTLE STRAIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MARIE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5013 EDWARDS DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6908
Mailing Address - Country:US
Mailing Address - Phone:505-236-3319
Mailing Address - Fax:
Practice Address - Street 1:5013 EDWARDS DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-6908
Practice Address - Country:US
Practice Address - Phone:505-236-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician