Melody Michelle Benavidez
Individual provider Active NPI Behavior Technician · Moriarty, NM
NPI 1275375396 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1275375396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 67 Hermosa Ave
Moriarty, NM 87035-5592 - Phone
- (505) 907-5161
- NPI assigned
- Jun 10, 2024
- 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
67 Hermosa Ave
Moriarty, NM 87035-5592
Mailing address
67 Hermosa Ave
Moriarty, NM 87035-5592
Phone (505) 907-5161
Other providers in Moriarty, NM
- Above All Personal Care Services, Inc
- Angela Arnold
- Lynn Atwood
- Dorothy Eve Baker
- Linda Jo Banda
- Gabrielle Elizabeth Benitez
- Keirstin Bennett
- Kimberly A Birch
- Nicholas J. Black
- Chantala Booth
All providers in Moriarty, 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 Jun 10, 2024. 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.