ZIA ADVANCED BEHAVIOR ANALYTIC SERVICES P C (NPI# 1306298047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306298047 |
Entity Type | Organization |
Organization Name | ZIA ADVANCED BEHAVIOR ANALYTIC SERVICES P C |
Practice Address |
117 Sierra Blanca Ave Tularosa NM 88352-2029 |
Practice Telephone | 5754301823 |
Enumeration Date | 2016-07-06 |
Last Update Date | 2016-07-06 |
Authorized Official Name | DR. GREGORY RICHMOND MANCIL (OWNER/THERAPY DIRECTOR) |
Authorized Official Telephone | 5754301823 |
Authorized Official Credential | PH.D., BCBA-D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
117 SIERRA BLANCA AVE |
City | TULAROSA |
State | NM |
Zip Code | 88352-2029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740729953 | Zia Advanced Behavior Analytics | Community/Behavioral Health | 117 Sierra Blanca Ave, Tularosa, NM 88352-2029 | 2017-02-21 |
1861937641 | Suzanne Nora Mancil | Behavioral Analyst | 117 Sierra Blanca Ave, Tularosa, NM 88352 | 2017-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669950804 | Lucinda Wood | Nurse Practitioner | 111 Central Ave, Tularosa, NM 88352 | 2018-07-31 |
1841318060 | Maryanna Dora Younger | Case Manager/Care Coordinator | 168 Derbyshire Rd, Tularosa, NM 88352-0274 | 2007-03-26 |
1902942519 | Dillard B Irby | Pharmacy | 275 Central Ave # A, Tularosa, NM 88352-2009 | 2007-01-30 |
1427124601 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 111 Central Ave, Tularosa, NM 88352-2063 | 2006-11-28 |
1619982097 | Christiane George | Family Medicine | 111 Central Ave, Tularosa, NM 88352-2063 | 2006-07-31 |
1518074749 | Brenda Rae Abercrombie | Counselor | 900 St Francis Dr, Tularosa, NM 88352-2328 | 2006-08-24 |
1285269555 | Nikole Matinzo | Behavior Technician | 604 Rose St, Tularosa, NM 88352-2545 | 2020-03-07 |
1649774266 | April Renee Gonzales | Behavior Technician | 703 6th St, Tularosa, NM 88352-2611 | 2018-03-19 |
1437663200 | Gia Daniella Portillo | Behavior Technician | 7 Vacquero Ln, Tularosa, NM 88352-9318 | 2017-11-30 |
1326217480 | Jackie Cope | Social Worker | 1221 Central Ave, Tularosa, NM 88352-9334 | 2008-02-22 |
Find all providers in zip 88352 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021327 | Creative Work Solutions LLC | Day Training, Developmentally Disabled Services | 5338 Montgomery Blvd Ne Ste 400, Albuquerque, NM 87109-1342 | 2019-06-06 |
1881157683 | All About Us, LLC | Day Training, Developmentally Disabled Services | 1020 Edith Blvd Se Ste B-1, Albuquerque, NM 87102-4409 | 2019-04-09 |
1275075509 | Absolutely You, LLC | Day Training, Developmentally Disabled Services | 301 Pile St, Clovis, NM 88101-7538 | 2016-11-17 |
1659822575 | Premier Home Healthcare LLC | Day Training, Developmentally Disabled Services | 855 W Picacho Ave, Suite A, Las Cruces, NM 88005-2204 | 2016-10-14 |
1598130486 | Aim New Mexico | Day Training, Developmentally Disabled Services | 38 W Camino Abajo De La Loma, Ranchos De Taos, NM 87557-8006 | 2015-12-03 |
1790167765 | Afrodite Fioravantes | Day Training, Developmentally Disabled Services | 6412 Cathy Ave Ne, Albuquerque, NM 87109-3642 | 2015-06-25 |
1336549278 | Artisan The Art of Instruction Inc | Day Training, Developmentally Disabled Services | 10335 Marin Dr Nw, Albuquerque, NM 87114-4194 | 2014-08-28 |
1750701462 | Lsg and Associates LLC | Day Training, Developmentally Disabled Services | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2014-04-21 |
1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
1467885319 | Serenity Living Inc. | Day Training, Developmentally Disabled Services | 501 E Walnut St, Deming, NM 88030-5232 | 2013-08-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.