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Timothy Jacob Chacon

Behavior Technician in Albuquerque, NM. Individual provider (NPI-1).

NPI number1245144591
StatusActive
Last updated in NPPESOct 1, 2026

Details

NPI
1245144591
Entity type
Individual (NPI-1)
Name
Timothy Jacob Chacon
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 1, 2026
Certification date
Oct 1, 2026
Last updated
Oct 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4007 Hendrix Rd Ne
Albuquerque, NM 87110-1053

Phone 505-507-8004

Mailing address

4007 Hendrix Rd Ne
Albuquerque, NM 87110-1053

Phone 505-507-8004

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