Anthony James Chicarelli

Individual provider Active NPI Behavior Technician · Bosque Farms, NM

NPI 1992638019 · NPPES record last updated Jun 8, 2026

Key facts

NPI
1992638019
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1225 Vanderploeg CT
Bosque Farms, NM 87068-9149
Phone
(505) 910-5449
NPI assigned
Jun 8, 2026
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

1225 Vanderploeg CT
Bosque Farms, NM 87068-9149

Mailing address

1225 Vanderploeg CT
Bosque Farms, NM 87068-9149
Phone (505) 910-5449

Other providers in Bosque Farms, NM

All providers in Bosque Farms, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.