Active NPI
Jacob Leonard Barba Jr.
- Behavior Technician
- Albuquerque, NM
National Provider Identifier
1124475637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 707 Broadway Blvd NE
Albuquerque, NM 87102-2360 - Phone
- (505) 342-5489
- NPI assigned
- May 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
707 Broadway Blvd NE
Albuquerque, NM 87102-2360
Mailing address
41521 W. 11 Mile Road, Novi, Mi 48375
Novi, MI 48375
Phone (248) 299-0030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1124475637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41521 W. 11 MILE ROAD, NOVI, MI 48375",
"city": "NOVI",
"state": "MI",
"postal_code": "48375",
"telephone_number": "248-299-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 BROADWAY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022360",
"telephone_number": "505-342-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBA",
"first_name": "JACOB",
"middle_name": "LEONARD",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.