Chelsea Louise Baca

Individual provider Active NPI Behavior Technician · Los Lunas, NM

NPI 1467221978 · NPPES record last updated Dec 26, 2023

Key facts

NPI
1467221978
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
475 Court House Rd
Los Lunas, NM 87031
Phone
(575) 202-1117
NPI assigned
Dec 26, 2023
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X NM Yes

Addresses

Primary practice location

475 Court House Rd
Los Lunas, NM 87031

Mailing address

4600 Columbine Ave NE
Albuquerque, NM 87113-2236
Phone (575) 202-1117

Other providers in Los Lunas, NM

All providers in Los Lunas, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.