Joshua Atencio, CSW
Individual provider Active NPI Behavior Technician · Bloomfield, NM
NPI 1053993113 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1053993113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 101 E Broadway Ave
Bloomfield, NM 87413-6235 - Phone
- (505) 330-8220
- NPI assigned
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Peak Counseling, LLC | Current |
Accepting new patients | |
| Sadie L Smith-McDaniel | Current |
Accepting new patients |
Locations
101 E Broadway Ave
Bloomfield, NM 87413
Phone (505) 330-8220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
101 E Broadway Ave
Bloomfield, NM 87413-6235
Mailing address
101 E Broadway Ave
Bloomfield, NM 87413-6235
Phone (505) 330-8220
Other providers in Bloomfield, NM
- Angel Peak Counseling, LLC
- Elizabeth Applegate
- Sara Elaine Asbury
- Sharlee Ashley
- Nancy Ashworth
- Albert Avery
- James Bellah
- Krista Berrigan
- Bloomfield Chiropractor Center Inc
- Bloomfield Health Facilities LP
All providers in Bloomfield, 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 Apr 27, 2021. 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.