Active NPI
Adrian Carl Eaton, PSR CLASSROOM INST.
- Behavior Analyst
- Farmington, NM
National Provider Identifier
1457093189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1001 W Broadway Ste D&E
Farmington, NM 87401-5638 - Phone
- (505) 327-4796
- NPI assigned
- Apr 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NM | Primary |
Addresses
Primary practice location
1001 W Broadway Ste D&E
Farmington, NM 87401-5638
Mailing address
2800 N Dustin Ave Apt 327
Farmington, NM 87401-2143
Phone (505) 386-9026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1457093189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N DUSTIN AVE APT 327",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012143",
"telephone_number": "505-386-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W BROADWAY STE D&E",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015638",
"telephone_number": "505-327-4796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "ADRIAN",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "PSR CLASSROOM INST.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.