Jean Matz

Individual provider Active NPI Behavior Technician · Mesilla Park, NM

NPI 1669327672 · NPPES record last updated Mar 4, 2026

Key facts

NPI
1669327672
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
310 E Union Ave Unit 35
Mesilla Park, NM 88047-0018
Phone
(331) 308-4169
NPI assigned
Mar 4, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

310 E Union Ave Unit 35
Mesilla Park, NM 88047-0018

Mailing address

310 E Union Ave Unit 35
Mesilla Park, NM 88047-0018
Phone (331) 308-4169

Other providers in Mesilla Park, NM

All providers in Mesilla Park, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.