Elisa Cantu, PSY.M., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52508 Issued in TX

Practice address

6801 Jefferson St NE
Albuquerque, NM 87109-4379

Phone

(505) 605-6572

Fax

(505) 944-1927

NPI assigned

Sep 3, 2021

Sex

Female

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

State licenses

Practice roles

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.

• Dream Steps Autism Therapy, LLC

  • Behavior Analyst
  • Dallas, TX
  • NPI 1679438436
  NPD Authorized official
• Alpha Autism Therapy, LLC

  • Behavior Analyst
  • Edmond, OK
  • NPI 1649917394
  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1740958784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094379",
            "telephone_number": "505-738-5906",
            "fax_number": "505-944-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094379",
            "telephone_number": "505-605-6572",
            "fax_number": "505-944-1927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 N Broadway # 528",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730344172",
            "country_code": "US",
            "telephone_number": "405-987-7354",
            "fax_number": "877-349-8962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "ELISA",
        "credential": "PSY.M., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-21-52508",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvira Nohemi Cano
• Emily J Cano
• Kaitlyn Cano, FNP-BC
• Sonia Idaly Cano
• Loretta Cantu-Rothstein, SLP
• Davis Anthony Cantwell, PT, PDT
• Canu Health, LLC
• Canyon Transitional Rehabilitation Center, LLC
• Christina Canzanese
• Joy Cao, DOM

• All providers in Albuquerque, NM
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.