Mountain ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MOUNTAIN ABA LLC

Practice address

2300 Sunstone Dr NW
Albuquerque, NM 87120-8024

Phone

(505) 333-8718

NPI assigned

Mar 30, 2026

Organization subpart

No

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

Authorized official

Name

Andre Azevedo, M.ED.NPI 1477147627

Title

Bcba

Phone

(817) 526-8290

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andre Azevedo

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1477147627
  NPD Authorized official

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1790625838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SUNSTONE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871208024",
            "telephone_number": "505-333-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SUNSTONE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871208024",
            "telephone_number": "505-333-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "AZEVEDO",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "817-526-8290",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mountain Dental, Inc (Mountain Dental)
• Mountain Desert Health Clinic LLC
• Mountain Mahogany Community School

• Behavior Analyst in Albuquerque, NM
• Providers in Albuquerque, 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 Mar 30, 2026; 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.