Behavior Change Institute

Organization Active NPI Behavior Technician · Clovis, NM

NPI 1114464658 · NPPES record last updated Jan 23, 2017

Key facts

NPI
1114464658
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Technician 106S00000X
License
505382269 (NM)
Legal business name
BEHAVIOR CHANGE INSTITUTE
Practice address
440 W Manana Blvd
Clovis, NM 88101-4209
Phone
(575) 313-5177
NPI assigned
Jan 23, 2017
Organization subpart
No

Authorized official

Name
Magdalena Saenz
Title
Behavior Technisian
Phone
(575) 313-5177

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X 505382269 NM Yes

Addresses

Primary practice location

440 W Manana Blvd
Clovis, NM 88101-4209

Mailing address

440 W Manana Blvd
Clovis, NM 88101-4209
Phone (575) 313-5177

Other providers in Clovis, NM

All providers in Clovis, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.