Leia Pickel

Individual provider Active NPI Behavior Technician · Albuquerque, NM

NPI 1558067736 · NPPES record last updated Jun 14, 2024

Key facts

NPI
1558067736
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4801 Montano Rd NW Ste A2
Albuquerque, NM 87120-2423
Phone
(505) 336-0560
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC Past
since Jun 16, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4801 Montano Rd NW Ste A2
Albuquerque, NM 87120-2423

Mailing address

PO Box 663
Lakeland, MI 48143-0663
Phone (734) 203-0181

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.