Individual provider Active NPI

Larriane Jiecel Tan

  • Behavior Technician
  • Alamogordo, NM
National Provider Identifier
1073076824
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-83323 Issued in NV
Practice address
1408 8TH St
Alamogordo, NM 88310-5115
Phone
(866) 273-2451
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-83323 NV Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

1408 8TH St
Alamogordo, NM 88310-5115

Mailing address

1408 8TH St
Alamogordo, NM 88310-5115
Phone (866) 273-2451

Other practice location 1

950 W Aztec Ave
Gallup, NM 87301-6666
Phone (866) 273-2451

Other practice location 2

2301 E 20th St
Farmington, NM 87401-8905
Phone (866) 273-2451

Other practice location 3

500 N Hudson St
Silver City, NM 88061-5435
Phone (866) 273-2451

Other practice location 4

1224 W 21st St
Clovis, NM 88101-4199
Phone (866) 273-2451

Other practice location 5

6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (866) 273-2451

Other practice location 6

1012 Marquez Pl Unit 106B
Santa Fe, NM 87505-1833
Phone (866) 273-2451

Other practice location 7

201 E Las Cruces Ave Ste. 1501
Las Cruces, NM 88001-8800
Phone (866) 273-2451

Other practice location 8

100 Gossett Dr Ste B
Aztec, NM 87410-4529
Phone (866) 273-2451

Other practice location 9

115 E College Blvd
Roswell, NM 88201-5158
Phone (866) 273-2451

Other practice location 10

2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (866) 273-2451

Other practice location 11

301 N Canyon St
Carlsbad, NM 88220-5809
Phone (866) 273-2451

Other practice location 12

201 N 4th St
Artesia, NM 88210-2168
Phone (866) 273-2451

Other practice location 13

221 N Kansas St Ste 700
El Paso, TX 79901-1443
Phone (866) 273-2451

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

State licenses

LicenseStateTypeSpecialty
RBT-19-83323NVMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1073076824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 8TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105115",
            "telephone_number": "866-273-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 8TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105115",
            "telephone_number": "866-273-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Aztec Ave",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873016666",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874018905",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Hudson St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880615435",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014199",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Americas Pkwy NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871108172",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Marquez Pl Unit 106B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875051833",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Las Cruces Ave Ste. 1501",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880018800",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Gossett Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Aztec",
            "state": "NM",
            "postal_code": "874104529",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E College Blvd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015158",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Alma School Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852864400",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Canyon St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205809",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102168",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 N Kansas St Ste 700",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799011443",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "LARRIANE JIECEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-19-83323",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.