Active NPI
New Mexico Integrated Services LLC
- Behavior Analyst
- Santa Fe, NM
National Provider Identifier
1720955313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- NEW MEXICO INTEGRATED SERVICES LLC
- Practice address
- 1704 Llano St Ste B-1400
Santa Fe, NM 87505-5415 - Phone
- (505) 570-3120
- NPI assigned
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaac Wieder
- Title
- Owner
- Phone
- (505) 570-3120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1704 Llano St Ste B-1400
Santa Fe, NM 87505-5415
Mailing address
1704 Llano St Ste B-1400
Santa Fe, NM 87505-5415
Phone (505) 570-3120
National Provider Directory
National Provider DirectoryLocations
1704 Llano St
Ste B1400
Santa Fe, NM 87505
Phone (505) 570-3120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1720955313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 LLANO ST STE B-1400",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055415",
"telephone_number": "505-570-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 LLANO ST STE B-1400",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055415",
"telephone_number": "505-570-3120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MEXICO INTEGRATED SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "WIEDER",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-570-3120"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.