Arissa Rain Griego
Individual provider Active NPI Behavior Technician · Tucumcari, NM
NPI 1972389906 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1972389906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2309 S 3Rd St
Tucumcari, NM 88401-3814 - Phone
- (505) 573-2780
- NPI assigned
- Sep 6, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421014 | NM | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 421014 | NM | |
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2309 S 3Rd St
Tucumcari, NM 88401-3814
Mailing address
2309 S 3Rd St
Tucumcari, NM 88401-3814
Phone (505) 573-2780
Other providers in Tucumcari, NM
- Robert Gomez
- Shirley Gomez
- Jody Christopher Gonzales
- Joe Gonzales
- Linda K Gonzalez
- Tevin Griffin
- Tina Marie Guerrero
- Joan E Hagen
- Ross Edward Hastie
- Helping Hands Hospice
All providers in Tucumcari, 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 Sep 26, 2023. 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.