Gabriella Anderson

Individual provider Active NPI Behavior Technician · Rio Rancho, NM

NPI 1164091351 · NPPES record last updated Aug 9, 2022

Key facts

NPI
1164091351
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1817 Wellspring Ave SE Ste D
Rio Rancho, NM 87124-4956
Phone
(505) 828-3837
NPI assigned
Jun 22, 2021
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1817 Wellspring Ave SE Ste D
Rio Rancho, NM 87124-4956

Mailing address

8100 Wyoming Blvd NE Ste 406
Albuquerque, NM 87113-1946

Other providers in Rio Rancho, NM

All providers in Rio Rancho, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.