Leila Wiley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9019 Washington St NE Ste a
Albuquerque, NM 87113-2435

Phone

(505) 856-6880

NPI assigned

Dec 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1285346783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 SILICA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 WASHINGTON ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132435",
            "telephone_number": "505-856-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "LEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.proudmoments.com",
            "affiliation": "N",
            "address_1": "9019 Washington St NE Ste A",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871132435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David S Wildes Jr., PHARM.D.
• Wildflower Counseling, LLC
• Wildflower Serenity, LLC
• Wildflower Wellness of New Mexico, LLC
• Cynthia Wiley
• Naketta Jean Wiley
• Dana M Wilging, PA-C
• Scot Wilging, PA-C
• Tammi M Wilham, OT
• Deborah Anne Wilhelm, LPN

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.