Organization Active NPI

Nicolas ABA Therapy LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1609752906
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NICOLAS ABA THERAPY LLC
Practice address
1209 Mountain Road PL NE Ste 7103
Albuquerque, NM 87110-7845
Phone
(505) 451-4192
NPI assigned
Aug 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Conan Calleja, BCBANPI 1861908162
Title
Owner
Phone
(505) 451-4192

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1209 Mountain Road PL NE Ste 7103
Albuquerque, NM 87110-7845

Mailing address

1209 Mountain Road PL NE Ste 7103
Albuquerque, NM 87110-7845
Phone (505) 451-4192

National Provider Directory

National Provider Directory

Locations

1209 Mountain Road Pl NE
Ste 7103
Albuquerque, NM 87110
Phone (505) 451-4192

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": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1609752906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MOUNTAIN ROAD PL NE STE 7103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107845",
            "telephone_number": "505-451-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MOUNTAIN ROAD PL NE STE 7103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107845",
            "telephone_number": "505-451-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "CALLEJA",
        "authorized_official_first_name": "CONAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-451-4192",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 12, 2025; 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.