IndividualActive
Maxilea Isom
NPI 1346776804 · Behavior Technician · Holloman, Afb, NM
Provider details
- NPI number
- 1346776804
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2079 Eglin Ave Apt a
Holloman, Afb, NM 88330
Phone: (347) 485-8386
Approximate (ZIP-level) locationGet directions
Mailing address
2079 Eglin Ave Apt a
Holloman Afb, NM 88330-7209
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.