Ileana Del Val
Individual provider Active NPI Behavior Analyst · Anthony, NM
NPI 1508348285 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1508348285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 785 Anthony Drive
Anthony, NM 88021-8802 - Phone
- (575) 882-5100
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Community Counseling Center, LLC | Past | Accepting new patients | |
| Amanecer Community Counseling Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NM | Yes |
Addresses
Primary practice location
785 Anthony Drive
Anthony, NM 88021-8802
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35650338 | Medicaid | NM |
Other providers in Anthony, NM
- Melissa Ruth Crew
- Irasema Cuellar
- Alexa De Alba
- Jose Luis De Anda
- Susan De la Paz
- Maria R Diaz
- Lorena Dominguez
- Rita Dominguez
- Victoria Duarte
- Yair Andy Duarte
All providers in Anthony, NM · Behavior Analyst 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 Aug 30, 2018. 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.