Active NPI
Ana Lilia Reza
- Behavior Analyst
- Sunland Park, NM
National Provider Identifier
1669740270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 101 Maguey CT
Sunland Park, NM 88063-9513 - Phone
- (575) 589-2400
- NPI assigned
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
101 Maguey CT
Sunland Park, NM 88063-9513
Mailing address
11025 Thatcher Pond LN
El Paso, TX 79934-3113
Phone (915) 820-4163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262026816 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1669740270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11025 THATCHER POND LN",
"city": "EL PASO",
"state": "TX",
"postal_code": "799343113",
"telephone_number": "915-820-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MAGUEY CT",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639513",
"telephone_number": "575-589-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZA",
"first_name": "ANA",
"middle_name": "LILIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262026816",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunland Park, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.