Ashley Chaves
Individual provider Active NPI Behavior Technician · Bernalillo, NM
NPI 1043718216 · NPPES record last updated Jan 23, 2018
Key facts
- NPI
- 1043718216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 54 Lauriano Dr
Bernalillo, NM 87004-8010 - Phone
- (505) 610-0729
- NPI assigned
- Jan 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
54 Lauriano Dr
Bernalillo, NM 87004-8010
Mailing address
54 Lauriano Dr
Bernalillo, NM 87004-8010
Phone (505) 610-0729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3557384322 | Medicaid | NM |
Other providers in Bernalillo, NM
- Marzieh Mohtashami Cassidy
- CDB 550 LLC
- Celebraces 550 LLC
- Gayle Chacon
- Austin Chaney
- Clearwater Cooperative
- Linda Coca
- Christine Cogil
- Joanne B Collier
- Amanda Marie Collins
All providers in Bernalillo, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.