Sandia Autism Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SANDIA AUTISM SERVICES LLC

Practice address

9123 Palomas Ave NE
Albuquerque, NM 87109-6632

Phone

(505) 274-9018

NPI assigned

Aug 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle I Wortman, BCBANPI 1730560053

Title

Owner

Phone

(505) 933-5961

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kyle Wortman, BCBA

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1730560053
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1174298319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 PALOMAS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096632",
            "telephone_number": "505-933-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 PALOMAS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096632",
            "telephone_number": "505-274-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "WORTMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-933-5961",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sanderville, MSW, LICSW, LCSW
• Melissa Ann Sandford
• Angad Sandhu
• Baljinder S Sandhu, MD
• Sandi's Smiles for Miles
• Sandia Bilingual Therapies, LLC
• Sandia Chiropractic Care PC
• Sandia Counseling Center LLC
• Sandia Crest Autism Services, LLC
• Sandia Dental Care LLC

• Behavior Analyst in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.