Active NPI
Melissa Galvan, TECHNICIAN-OTHER
- Behavior Technician
- Clovis, NM
National Provider Identifier
1013369503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2000 W 21St St
Clovis, NM 88101-4087 - Phone
- (575) 288-1881
- Fax
- (575) 288-1889
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2000 W 21St St
Clovis, NM 88101-4087
Mailing address
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Phone (575) 288-1881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1013369503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 HILLRISE CIR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114759",
"telephone_number": "575-288-1881",
"fax_number": "575-288-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W 21ST ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014087",
"telephone_number": "575-288-1881",
"fax_number": "575-288-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "TECHNICIAN-OTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.