Aba Southwest Nm
Community/Behavioral Health in Las Cruces, NM. Organization (NPI-2).
NPI number1821911272
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1821911272
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Southwest Nm
- Organization subpart
- No
- Enumeration date
- Aug 3, 2026
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
3621 Marion LnLas Cruces, NM 88012-7579
Phone 575-520-6074
Mailing address
3621 Marion LnLas Cruces, NM 88012-7579
Authorized official
Monique Lujan
Owner
5755206074
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