Alyssia Ramona Baca, AA
Individual provider Active NPI Behavior Technician · Chimayo, NM
NPI 1659926764 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1659926764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 324 Juan Medina Road
Chimayo, NM 87522 - Phone
- (505) 927-1303
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Associate of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
324 Juan Medina Road
Chimayo, NM 87522
Mailing address
324 Juan Medina Road
Chimayo, NM 87522
Phone (505) 927-1303
Other providers in Chimayo, NM
- Miguel Caro
- James Edward Charles Sr.
- Pedro Ismael Chavez
- Chimayo Youth Conservation Corps
- Darren Anthony Griego
All providers in Chimayo, NM · Behavior Technician 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 6, 2019. 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.