Felisha Marshall

Individual provider Active NPI Behavior Technician · Aztec, NM

NPI 1255908943 · NPPES record last updated Jun 10, 2021

Key facts

NPI
1255908943
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
16A Road 2965
Aztec, NM 87410-9762
Phone
(505) 444-1270
NPI assigned
Jun 10, 2021
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

16A Road 2965
Aztec, NM 87410-9762

Mailing address

16A Road 2965
Aztec, NM 87410-9762

Other providers in Aztec, NM

All providers in Aztec, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.