NPIMap

Organization Active NPI

Adelie Pebbles Therapy LLC

  • Behavior Analyst
  • Los Alamos, NM
National Provider Identifier
1073291647
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ADELIE PEBBLES THERAPY LLC
Practice address
150 Central Park SQ Ste 22
Los Alamos, NM 87544-4026
Phone
(323) 356-6049
NPI assigned
Jul 5, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Mayra Alejandra Murrell, BCBANPI 1780102533
Title
Owner
Phone
(323) 356-6049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

150 Central Park SQ Ste 22
Los Alamos, NM 87544-4026

Mailing address

150 Central Park SQ Ste 22
Los Alamos, NM 87544-4026

National Provider Directory

National Provider Directory

Locations

150 Central Park Sq
Ste 22
Los Alamos, NM 87544
Phone (323) 356-6049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1073291647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CENTRAL PARK SQ STE 22",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CENTRAL PARK SQ STE 22",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444026",
            "telephone_number": "323-356-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELIE PEBBLES THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-356-6049",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, 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.

Verify at the official NPI Registry.