Celeste Pacheco
Individual provider Active NPI Behavior Technician · Cedar Crest, NM
NPI 1104655455 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1104655455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12121 NM Highway 14
Cedar Crest, NM 87008 - Phone
- (505) 916-7618
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 | NM | Yes |
Addresses
Primary practice location
12121 NM Highway 14
Cedar Crest, NM 87008
Mailing address
4600 Columbine Ave NE
Albuquerque, NM 87113-2236
Phone (505) 288-8876
Other providers in Cedar Crest, NM
- Alysandra Newbill
- Jaclyn M Oddi
- Optomeyes, Inc.
- Cierra Danae Ortega
- Lynnette Ruth Ousley
- Mershona Parshall
- Richard Lewis Patnaude
- Isabelle Grace Peralta
- Amanda M. Pierson
- Placitas Mountain Medical, Inc.
All providers in Cedar Crest, 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 Jul 26, 2024. 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.