Active NPI
Leslie Ann Baca
- Counselor
- Albuquerque, NM
National Provider Identifier
1952864571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 707 Broadway Blvd NE
Albuquerque, NM 87102-2360 - Phone
- (505) 345-8471
- NPI assigned
- Apr 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
707 Broadway Blvd NE
Albuquerque, NM 87102-2360
Mailing address
1709 Moon St. NE
Albuquerque, NM 87112
Phone (505) 271-0329
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": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1952864571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 MOON ST. NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87112",
"telephone_number": "505-271-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 BROADWAY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022360",
"telephone_number": "505-345-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "LESLIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.