Healthcare Provider Details

I. General information

NPI: 1467310185
Provider Name (Legal Business Name): IRIS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7704 SAN FRANCISQUITA CT NW
ALBUQUERQUE NM
87120-3653
US

IV. Provider business mailing address

6300 RIVERSIDE PLAZA LN NW STE 118
ALBUQUERQUE NM
87120-2617
US

V. Phone/Fax

Practice location:
  • Phone: 505-226-1594
  • Fax:
Mailing address:
  • Phone: 505-226-1594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA OLIVAS
Title or Position: OWNER
Credential: BCBA
Phone: 505-226-1594