Misty D Belanger
Individual provider Active NPI Behavior Technician · Clovis, NM
NPI 1487941233 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1487941233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2000 W 21St St
Clovis, NM 88101-4087 - Phone
- (575) 288-1881
- Fax
- (575) 288-1889
- NPI assigned
- Jun 30, 2011
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2000 W 21St St
Clovis, NM 88101-4087
Mailing address
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Phone (575) 288-1881
Other practice location 1
1100 W 21st Street
Clovis, NM 88101
Phone (575) 769-2345 ext. 130
Other providers in Clovis, NM
- Cheyenne Beard
- Joshua Beare
- Della Bedingfield
- Heather Begley
- Behavior Change Institute
- Constance C Belcher
- Reavis Bell
- Kristen Rae Beltran
- Kristin Benavidez
- Matthew Benavidez
All providers in Clovis, 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 17, 2023. 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.