NPIMap

Organization Active NPI

Balance Speech and Behavior LLC

  • Behavior Analyst
  • Albuquerque, NM
National Provider Identifier
1568054591
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BALANCE SPEECH AND BEHAVIOR LLC
Practice address
2700 Vista Grande Dr NW Unit 32
Albuquerque, NM 87120-1039
Phone
(505) 319-3113
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melisa SantacroceNPI 1336384973
Title
Owner
Phone
(505) 319-3113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2700 Vista Grande Dr NW Unit 32
Albuquerque, NM 87120-1039

Mailing address

2700 Vista Grande Dr NW Unit 32
Albuquerque, NM 87120-1039
Phone (505) 319-3113

Other identifiers 1

IdentifierTypeStateIssuer
1336384973MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1568054591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 VISTA GRANDE DR NW UNIT 32",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201039",
            "telephone_number": "505-319-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VISTA GRANDE DR NW UNIT 32",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201039",
            "telephone_number": "505-319-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE SPEECH AND BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "SANTACROCE",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-319-3113"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336384973",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.