Katlyn Archibeque
Individual provider Active NPI Behavior Analyst · Albuquerque, NM
NPI 1962810077 · NPPES record last updated Aug 1, 2014
Key facts
- NPI
- 1962810077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 707 Broadway Blvd NE
Albuquerque, NM 87102-2360 - Phone
- (505) 342-5454
- NPI assigned
- Aug 1, 2014
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
707 Broadway Blvd NE
Albuquerque, NM 87102-2360
Mailing address
707 Broadway NE
Open Skies Healthcare
Albuquerque, NM 87102
Other providers in Albuquerque, NM
- Marguerite Archibeck
- Michael J Archibeck
- Alicia Archibeque
- Courtney Alicia Archibeque
- Frank A. Archibeque
- Marie Angela Archibeque
- Mary M Archibeque
- Theresa Archibeque
- Vanessa Archuleta- Dorrance
- Amanda L Archuleta
All providers in Albuquerque, NM · Behavior Analyst 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 Aug 1, 2014. 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.