Louise Hamilton

Individual provider Active NPI Behavior Technician · Cloudcroft, NM

NPI 1346858420 · NPPES record last updated Jul 15, 2020

Key facts

NPI
1346858420
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1301 Sugar Pine Dr
Cloudcroft, NM 88317-7765
Phone
(575) 491-7086
NPI assigned
Jul 15, 2020
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

1301 Sugar Pine Dr
Cloudcroft, NM 88317-7765

Mailing address

PO Box 1111
Cloudcroft, NM 88317-1111

Other providers in Cloudcroft, NM

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

Sources for this page

Verify at the official NPI Registry.