Suzanne Nora Mancil, B.C.B.A.

Individual provider Active NPI Behavior Analyst · Tularosa, NM

NPI 1861937641 · NPPES record last updated Jan 3, 2017

Key facts

NPI
1861937641
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-16-22314
Practice address
117 Sierra Blanca Ave
Tularosa, NM 88352
Phone
(575) 415-5220
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
Yes

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Advanced Behavior Analytics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-22314 Yes

Addresses

Primary practice location

117 Sierra Blanca Ave
Tularosa, NM 88352

Mailing address

117 Sierra Blanca Ave
Tularosa, NM 88352
Phone (575) 415-5220

Other names

  • Ms. Suzanne Nora Wright Former name

Other providers in Tularosa, NM

All providers in Tularosa, NM · Behavior Analyst in New Mexico

Sources for this page

Verify at the official NPI Registry.