Jerome Arthur Lopez-Silva

Individual provider Active NPI Behavior Technician · Cedar Crest, NM

NPI 1558057240 · NPPES record last updated Apr 14, 2023

Key facts

NPI
1558057240
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
12121 NM Highway 14
Cedar Crest, NM 87008
Phone
(575) 202-1117
NPI assigned
Apr 14, 2023
Sex
Male
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 Yes

Addresses

Primary practice location

12121 NM Highway 14
Cedar Crest, NM 87008

Mailing address

3876 Hawkins St NE
Albuquerque, NM 87109-4539
Phone (505) 508-0865

Other providers in Cedar Crest, NM

All providers in Cedar Crest, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.