Zia Advanced Behavior Analytic Services P C

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ZIA ADVANCED BEHAVIOR ANALYTIC SERVICES P C

Practice address

117 Sierra Blanca Ave
Tularosa, NM 88352-2029

Phone

(575) 430-1823

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Richmond Mancil, PH.D., BCBA-D

Title

Owner/Therapy Director

Phone

(575) 430-1823

Specialties & licenses 1

Addresses

Tax ID family

Zia ABA Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Zia Advanced Behavior Analytics

  • Early Intervention Provider Agency
  • Tularosa, NM
  • NPI 1740729953
  NPD tax ID

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1306298047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SIERRA BLANCA AVE",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883522029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SIERRA BLANCA AVE",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883522029",
            "telephone_number": "575-430-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA ADVANCED BEHAVIOR ANALYTIC SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "MANCIL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "RICHMOND",
        "authorized_official_title_or_position": "OWNER/THERAPY DIRECTOR",
        "authorized_official_telephone_number": "575-430-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Salaz
• Tularosa Municipal Schools
• Wendy Velez, CNP
• Lucinda Wood
• Maryanna Dora Younger
• Zia Advanced Behavior Analytics

• Developmentally Disabled Services Day Training Agency in Tularosa, NM
• Providers in Tularosa, NM by specialty
• Developmentally Disabled Services Day Training Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.