Zia Advanced Behavior Analytics

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

11622314 Issued in NM

Legal business name

ZIA ADVANCED BEHAVIOR ANALYTICS

Practice address

117 Sierra Blanca Ave
Tularosa, NM 88352-2029

Phone

(575) 415-5220

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne N Mancil, BCBANPI 1861937641

Title

Therapy Director

Phone

(575) 415-5220

Specialties & licenses 2

Addresses

Other names 1

• Zia ABA Services Other name

Tax ID family

Zia ABA Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Zia Advanced Behavior Analytic Services P C

  • Developmentally Disabled Services Day Training Agency
  • Tularosa, NM
  • NPI 1306298047
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne Nora Mancil, B.C.B.A.

  • Behavior Analyst
  • Tularosa, NM
  • NPI 1861937641
  NPD (past) Authorized official

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1740729953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SIERRA BLANCA AVE",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883522029",
            "telephone_number": "575-415-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SIERRA BLANCA AVE",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883522029",
            "telephone_number": "575-415-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA ADVANCED BEHAVIOR ANALYTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "MANCIL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "THERAPY DIRECTOR",
        "authorized_official_telephone_number": "575-415-5220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NM",
            "license": "11622314",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "11622314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zia ABA Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tularosa Municipal Schools
• Wendy Velez, CNP
• Lucinda Wood
• Maryanna Dora Younger
• Zia Advanced Behavior Analytic Services P C

• Early Intervention Provider Agency in Tularosa, NM
• Providers in Tularosa, NM by specialty
• Early Intervention Provider Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.