MEDICARE: ANGELINE SALINAS BT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-83484	NM

General Provider Information

NPI Number	:	1417627167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINE SALINAS BT

Provider Business Mailing Address
First Line	:	1350 HILLRISE CIR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4759
Country	:	US
Telephone Number	:	575-522-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 HILLRISE DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4701
Country	:	US
Telephone Number	:	575-522-9500
Fax Number	:	575-523-1108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	12/10/2025

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