Active NPI
Jenine Lujan, BEHAVIOR TECHNICIAN
- Behavior Technician
- Rio Rancho, NM
National Provider Identifier
1487350336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 500 Unser Blvd SE
Rio Rancho, NM 87124-4660 - Phone
- (505) 623-9814
- NPI assigned
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
500 Unser Blvd SE
Rio Rancho, NM 87124-4660
Mailing address
500 Unser Blvd SE
Rio Rancho, NM 87124-4660
Phone (505) 623-9814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123713117 | Other | NM | DL |
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": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1487350336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNSER BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244660",
"telephone_number": "505-623-9814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNSER BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244660",
"telephone_number": "505-623-9814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUJAN",
"first_name": "JENINE",
"credential": "BEHAVIOR TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-02",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL",
"identifier": "123713117",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.