Mariah R Davis

Individual provider Active NPI Behavior Technician · Los Ranchos, NM

NPI 1093624447 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1093624447
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
300 El Pueblo Rd NW
Los Ranchos, NM 87114-1025
Phone
(505) 539-9100
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

300 El Pueblo Rd NW
Los Ranchos, NM 87114-1025

Mailing address

PO Box 937
Church Rock, NM 87311-0937
Phone (505) 539-9100

Other providers in Los Ranchos, NM

All providers in Los Ranchos, 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 Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.