Lisbeth Azucena Wright

Individual provider Active NPI Behavior Technician · Sandia Park, NM

NPI 1225524895 · NPPES record last updated Sep 11, 2018

Key facts

NPI
1225524895
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
63 Frost Rd.
Sandia Park, NM 87047
Phone
(505) 286-9193
NPI assigned
Jul 7, 2018
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

63 Frost Rd.
Sandia Park, NM 87047

Mailing address

63 Frost Rd.
Sandia Park, NM 87047

Other providers in Sandia Park, NM

All providers in Sandia Park, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.