Travis Lee Quintana

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47765 Issued in NM

Practice address

2300 Menaul Blvd NE
Albuquerque, NM 87107-1851

Phone

(505) 272-0134

NPI assigned

Sep 29, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1730796178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 ANDERSON PL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084405",
            "telephone_number": "505-270-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071851",
            "telephone_number": "505-272-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 Anderson Pl SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871084405",
            "country_code": "US",
            "telephone_number": "505-270-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "TRAVIS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-21-47765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Anna Quintana
• Rhonda J Quintana
• Santiago Zeppelin Quintana
• Sausha Quintana
• Tara Bremer Quintana, LCSW
• Weston Quintana
• Dana Quintero
• Quintessence Operations, LLC
• Ruben L Quinto III, PHARMD
• Kathryn Cornwell Quirk, LMSW

• Behavior Analyst in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.