Melissa Ann Toledo- Ontiveros, M.A., M.C.J, M.P.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

301 Perkins Dr
Las Cruces, NM 88005-3758

Phone

(505) 977-9722

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Melissa Ann Portillos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1740513696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E MESA AVE APT 18",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015786",
            "telephone_number": "505-977-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PERKINS DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053758",
            "telephone_number": "505-977-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO- ONTIVEROS",
        "first_name": "MELISSA ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., M.C.J, M.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0129951",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B9311",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA ANN",
            "last_name": "PORTILLOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nora B Toftely-Loken, LPC
• Imelda Citlali Toledo-Neely, MD
• Liduvina Tolentino
• Mary Lou Tomchak, MS CCC-SLP
• Stephanie Tondera-Rodriguez
• Alice Tony

• Behavior Analyst in Las Cruces, NM
• Providers in Las Cruces, 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 Sep 2, 2014; 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.