Bianca Al-Tahan
Individual provider Active NPI Behavior Technician · Anthony, NM
NPI 1871075556 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1871075556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 785 Anthony Drive
Anthony, NM 88021-2671 - Phone
- (575) 882-5100
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Community Counseling Center, LLC | Past | Accepting new patients | |
| Amanecer Community Counseling Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
785 Anthony Drive
Anthony, NM 88021-2671
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35650338 | Medicaid | NM |
Other providers in Anthony, NM
- Yesenia Acosta
- Adl Counseling LLC
- Eva Pavia Aguilar
- Maria Sharlene Aguilar
- Michelle Aguirre Soto
- Arlene Alanis
- Albrighton Pharmacy
- Julio Aleman
- Stephanie Almaraz
- Rosa Alonzo
All providers in Anthony, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.