Odalys Andujo-Hernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3504 Bareback PL SW
Albuquerque, NM 87105-4773

Phone

(505) 692-7147

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1407418007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 BAREBACK PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054773",
            "telephone_number": "505-692-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 BAREBACK PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054773",
            "telephone_number": "505-692-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDUJO-HERNANDEZ",
        "first_name": "ODALYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Lee Andrews, MD/PHD
• Ronald Paul Andrews, P.T.
• Sam William Andrews, M.D.
• Leslie A Andritsos, MD
• Michael J Andritsos, MD
• Ketsy Andujo
• Aaron John Andzelik, OD
• Caitlin Anello, DPT
• Anemos Healing, LLC
• Anesthesia Associates of New Mexico P C

• 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 Aug 6, 2019; 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.