Theresah Boateng, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53459 Issued in NM

Practice address

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734

Phone

(844) 743-6506

NPI assigned

Nov 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Theresah Napetey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Autism Learning Collaborative LLC

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1578173472
  NPD

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1780126094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734",
            "telephone_number": "844-743-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734",
            "telephone_number": "844-743-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "THERESAH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-21-53459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESAH",
            "last_name": "NAPETEY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Michelle Blystone, RN
• Chris Blystone
• Blythe LLC
• Joyce Obeng Boateng, PMHNP
• Kofi Boateng
• Jon Michael Boatman, RDH
• Koh Boayue, MD
• Bobbi Ebsen Psychotherapy LLC
• Bobby N. Holstead, PHD, LLC
• Jason Ryan Boberg

• 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 Mar 29, 2023; 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.