Stephen Branch
Individual provider Active NPI Day Training/Habilitation Specialist · Belen, NM
NPI 1245502467 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1245502467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 816 La Luz Dr
Belen, NM 87002-3343 - Phone
- (505) 450-3920
- NPI assigned
- Feb 3, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
816 La Luz Dr
Belen, NM 87002-3343
Mailing address
816 La Luz Dr
Belen, NM 87002-3343
Phone (505) 450-3920
Other providers in Belen, NM
- Besito Mental Healthcare of New Mexico, LLC
- Best Life Counseling Services
- Adrianne Blair
- Melissa Boggs
- Jeannetta K Boyden
- Julie Marie Brinkley
- Maya Brown
- Building Resilience LLC
- Angela J Burden
- Randy Wayne Burden
All providers in Belen, NM · Day Training/Habilitation Specialist 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 Feb 3, 2012. 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.