Individual provider Active NPI

Melinda Deanette Nino, BEHAVIOR TECHNICIAN

  • Behavior Technician
  • Las Cruces, NM
National Provider Identifier
1407753585
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1742 McRae Ave
Las Cruces, NM 88001-2546
Phone
(575) 650-3997
NPI assigned
Oct 22, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NM Primary

Addresses

Primary practice location

1742 McRae Ave
Las Cruces, NM 88001-2546

Mailing address

1742 McRae Ave
Las Cruces, NM 88001-2546
Phone (575) 650-3997

Other practice location 1

521 saint valentine street
La mesa, NM 88004
Phone (575) 650-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1407753585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 MCRAE AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012546",
            "telephone_number": "575-650-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 MCRAE AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012546",
            "telephone_number": "575-650-3997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 saint valentine street",
            "address_purpose": "LOCATION",
            "city": "La mesa",
            "state": "NM",
            "postal_code": "88004",
            "country_code": "US",
            "telephone_number": "575-650-3997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NINO",
        "first_name": "MELINDA",
        "middle_name": "DEANETTE",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.