Brande-Jo Deutsawe
Individual provider Active NPI Behavior Technician · Gallup, NM
NPI 1679448674 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1679448674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 950 W Aztec Ave
Gallup, NM 87301-6666 - Phone
- (866) 273-2451
- Fax
- (866) 608-5560
- NPI assigned
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Change Institute, LLC. | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
950 W Aztec Ave
Gallup, NM 87301-6666
Mailing address
1408 8TH St
Alamogordo, NM 88310-5115
Phone (866) 273-2451
Other practice location 1
500 N Hudson St
Silver City, NM 88061-5435
Phone (866) 273-2451
Other practice location 2
1224 W 21st St
Clovis, NM 88101-4199
Phone (866) 273-2451
Other practice location 3
201 E Las Cruces Ave Ste 1501
Las Cruces, NM 88001-3488
Phone (866) 273-2451
Other practice location 4
2301 E 20th St
Farmington, NM 87401-8905
Phone (866) 273-2451
Other practice location 5
201 N 4th St
Artesia, NM 88210-2168
Phone (866) 273-2451
Other practice location 6
100 Gossett Dr Ste B
Aztec, NM 87410-4529
Phone (866) 273-2451
Other practice location 7
1408 8th St
Alamogordo, NM 88310-5115
Phone (866) 273-2451
Other practice location 8
6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (866) 273-2451
Other practice location 9
115 E College Blvd
Roswell, NM 88201-5158
Phone (866) 273-2451
Other practice location 10
1012 Marquez Pl Unit 106B
Santa Fe, NM 87505-1833
Phone (866) 273-2451
Other practice location 11
301 N Canyon St
Carlsbad, NM 88220-5809
Phone (866) 273-2451
Other practice location 12
2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (866) 273-2451
Other practice location 13
221 N Kansas St Ste 700
El Paso, TX 79901-1444
Phone (866) 273-2451
Other providers in Gallup, NM
- Kimberly Dawn Denton
- Nick A Desantis
- Daisy Descheene
- Desert Horizon Transport LLC
- Fern S. Detsoi
- Desiderio Jay Dez
- DHHS, PHS, Naihs, Gallup Indian Medical Center
- DHHS,PHS,Naihs, Gallup Indian Medical Center
- DHHS,PHS,Naihs,Gallup Indian Medical Center
- DHHS,PHS,Naihs,Gallup Indian Medical Center
All providers in Gallup, 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 Oct 16, 2025. 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.