Raymond A Anaya

Individual provider Active NPI Behavior Technician · Deming, NM

NPI 1912530452 · NPPES record last updated Feb 12, 2020

Key facts

NPI
1912530452
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2011 S Saddler St
Deming, NM 88030-6146
Phone
(575) 649-7656
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2011 S Saddler St
Deming, NM 88030-6146

Mailing address

2011 S Saddler St
Deming, NM 88030-6146
Phone (575) 649-7656

Other providers in Deming, NM

All providers in Deming, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.