Active NPI
Monica Dale Eason, MA., CCC-SLP, BCBA
- Behavior Analyst
- Las Cruces, NM
National Provider Identifier
1710014337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-11794
- Practice address
- 2055 Carlyle Dr
Las Cruces, NM 88005-1425 - Phone
- (575) 652-3155
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-11794 | Primary | |
| Speech-Language Pathologist | 235Z00000X | 2846 | NM |
Addresses
Primary practice location
2055 Carlyle Dr
Las Cruces, NM 88005-1425
Mailing address
2055 Carlyle Dr
Las Cruces, NM 88005-1425
Phone (575) 652-3155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26830531 | Medicaid | NM | |
| 85454770 | 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2846 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Connections, LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Las Cruces, NM
- NPI 1780380212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1710014337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 CARLYLE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880051425",
"telephone_number": "575-652-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 CARLYLE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880051425",
"telephone_number": "575-652-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "MONICA",
"middle_name": "DALE",
"name_prefix": "Mrs.",
"credential": "MA., CCC-SLP, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-12-11794",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "2846",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26830531",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85454770",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.