Jennifer Amaya

Individual provider Active NPI Behavior Analyst · Las Cruces, NM

NPI 1780121517 · NPPES record last updated Nov 15, 2023

Key facts

NPI
1780121517
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
12369388 (NM)
Practice address
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Phone
(575) 288-1881
Fax
(575) 288-1889
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12369388NMMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aprendamos Intervention Team, P.a. Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12369388 NM Yes

Addresses

Primary practice location

1350 Hillrise Cir
Las Cruces, NM 88011-4759

Mailing address

1350 Hillrise Cir
Las Cruces, NM 88011-4759
Phone (575) 288-1881

Other names

  • Jennifer Amaya Professional name

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Behavior Analyst in New Mexico

Sources for this page

Verify at the official NPI Registry.