Dario Saucedo

Individual provider Active NPI Behavior Technician · Vado, NM

NPI 1407439888 · NPPES record last updated May 3, 2021

Key facts

NPI
1407439888
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
221 Swannack Rd.
Vado, NM 88072
Phone
(575) 405-7169
NPI assigned
May 3, 2021
Sex
Male
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

221 Swannack Rd.
Vado, NM 88072

Mailing address

221 Swannack Rd.
Vado, NM 88072

Other providers in Vado, NM

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

Sources for this page

Verify at the official NPI Registry.