Melissa Marie Trujillo
Individual provider Active NPI Behavior Technician · Dulce, NM
NPI 1235649468 · NPPES record last updated Oct 2, 2017
Key facts
- NPI
- 1235649468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6 County Road 356
Dulce, NM 87528-3001 - Phone
- (575) 419-0320
- NPI assigned
- Oct 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
6 County Road 356
Dulce, NM 87528-3001
Mailing address
HC 71 Box 201
13728 US Hwy 64
Dulce, NM 87528
Phone (575) 759-0099
Other providers in Dulce, NM
- Theresa Ann Posey
- Gaylia Dianne Pride
- Marcia Ann Sahmaunt
- Robert Patrick Sewell
- John E Shumack
- Marlene Joy Velarde
- Susan Ann Velarde
- Inna Voinich
- Nancy Jane Watts
- Mitchell R. Wilkinson
All providers in Dulce, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.