Individual provider Active NPI

Mireya Martinez Mata

  • Behavior Technician
  • Roswell, NM
National Provider Identifier
1275334088
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
115 E College Blvd
Roswell, NM 88201-5158
Phone
(866) 273-2451
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

115 E College Blvd
Roswell, NM 88201-5158

Mailing address

1211 8TH St Ste C
Alamogordo, NM 88310-5808
Phone (866) 273-2451

Other practice location 1

6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (866) 273-2451

Other practice location 2

1224 W 21st St
Clovis, NM 88101-4199
Phone (866) 273-2451

Other practice location 3

500 N Hudson St
Silver City, NM 88061-5435
Phone (866) 273-2451

Other practice location 4

2301 E 20th St
Farmington, NM 87401-8905
Phone (866) 273-2451

Other practice location 5

950 W Aztec Ave
Gallup, NM 87301-6666
Phone (866) 273-2451

Other practice location 6

301 N Canyon St
Carlsbad, NM 88220-5809
Phone (866) 273-2451

Other practice location 7

201 N 4th St
Artesia, NM 88210-2168
Phone (866) 273-2451

Other practice location 8

100 Gossett Dr Ste B
Aztec, NM 87410-4529
Phone (866) 273-2451

Other practice location 9

221 N Kansas St Ste 700
El Paso, TX 79901-1444
Phone (866) 273-2451

Other practice location 10

2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (866) 273-2451

Other practice location 11

1211 8th St Ste C
Alamogordo, NM 88310-5808
Phone (866) 273-2451

Other practice location 12

201 E Las Cruces Ave Ste 1501
Las Cruces, NM 88001-3488
Phone (866) 273-2451

Other practice location 13

1012 Marquez Pl Unit 106B
Santa Fe, NM 87505-1833
Phone (866) 273-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Change Institute, LLC. Behavior Technician CurrentSince Mar 24, 2025 Accepting new patients

Locations

2705 S Alma School Rd
Ste 2
Chandler, AZ 85286
Phone (480) 802-1640

1211 8th St
Ste C
Alamogordo, NM 88310
Phone (575) 551-5111

6565 Americas Pkwy NE
Ste 200
Albuquerque, NM 87110
Phone (404) 408-5442

201 N 4th St
Artesia, NM 88210
Phone (866) 271-2451

100 Gossett Dr
#B
Aztec, NM 87410

204 W Shaw St
Carlsbad, NM 88220
Phone (855) 274-2451

1224 W 21st St
Clovis, NM 88101

201 E Las Cruces Ave
Ste 1501
Las Cruces, NM 88001
Phone (440) 855-0150

1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (505) 470-8132

500 N Hudson St
Silver City, NM 88061
Phone (866) 273-2541

221 N Kansas St
Ste 700
El Paso, TX 79901
Phone (817) 242-3733

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1275334088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 8TH ST STE C",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105808",
            "telephone_number": "866-273-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E COLLEGE BLVD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015158",
            "telephone_number": "866-273-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Americas Pkwy NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871108172",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014199",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Hudson St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880615435",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874018905",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Aztec Ave",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873016666",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Canyon St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205809",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102168",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Gossett Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Aztec",
            "state": "NM",
            "postal_code": "874104529",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "fax_number": "866-608-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 N Kansas St Ste 700",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799011444",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 S Alma School Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852864400",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 8th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883105808",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Las Cruces Ave Ste 1501",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880013488",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Marquez Pl Unit 106B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875051833",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ MATA",
        "first_name": "MIREYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.