Michael Barron

Individual provider Active NPI Behavior Technician · Gallup, NM

NPI 1023733409 · NPPES record last updated Oct 7, 2022

Key facts

NPI
1023733409
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
950 W Aztec Ave
Gallup, NM 87301-6666
Phone
(866) 273-2451
NPI assigned
Oct 7, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

950 W Aztec Ave
Gallup, NM 87301-6666

Mailing address

1200 N White Sands Blvd Ste 115
Alamogordo, NM 88310-6774
Phone (866) 273-2451

Other practice location 1

1200 N White Sands Blvd Ste 115
Alamogordo, NM 88310-6774
Phone (866) 273-2451

Other providers in Gallup, NM

All providers in Gallup, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.