Miranda Chavez
Individual provider Active NPI Behavior Technician · Deming, NM
NPI 1417599192 · NPPES record last updated Oct 14, 2019
Key facts
- NPI
- 1417599192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 313 S 12TH St
Deming, NM 88030-3307 - Phone
- (575) 936-6046
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
313 S 12TH St
Deming, NM 88030-3307
Mailing address
313 S 12TH St
Deming, NM 88030-3307
Other providers in Deming, NM
- Luis A Carreon
- John Cassity
- Crystal Castillo
- Marco A. Cervantes
- Roseanne Chadborn
- City of Deming
- Yvonne Contreras
- Dolores Coronado
- James Allen Coughlin
- County of Luna
All providers in Deming, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.