Deetta Beasley
Behavior Technician in Alamogordo, NM. Individual provider (NPI-1).
NPI number1053826537
StatusActive
Last updated in NPPESJun 30, 2021
Details
- NPI
- 1053826537
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deetta Beasley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2017
- Certification date
- Jun 30, 2021
- Last updated
- Jun 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 N White Sands Blvd Ste 121Alamogordo, NM 88310-6774
Phone 866-273-2451
Mailing address
1200 N White Sands Blvd Ste 121Alamogordo, NM 88310-6774
Phone 866-273-2451
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 597 Behavior Technician providers in Alamogordo · All 1,642 providers in Alamogordo
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