Active NPI
Michelle Waller, RBT
- Behavior Analyst
- Las Cruces, NM
National Provider Identifier
1942728621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2919 Hillrise Dr
Las Cruces, NM 88011-4701 - Phone
- (575) 522-9500
- NPI assigned
- Sep 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2919 Hillrise Dr
Las Cruces, NM 88011-4701
Mailing address
505 N Brand Blvd Ste 1000
Glendale, CA 91203-3924
Phone (855) 295-3276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95856242 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787443200000",
"number": "1942728621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N BRAND BLVD STE 1000",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033924",
"telephone_number": "855-295-3276",
"fax_number": "818-241-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114701",
"telephone_number": "575-522-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "MICHELLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2026-08-23",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95856242",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.