Healthcare Provider Details

I. General information

NPI: 1730006925
Provider Name (Legal Business Name): REACH HIGHER ABA NEW MEXICO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARQUETTE AVE NW STE 1200
ALBUQUERQUE NM
87102-5312
US

IV. Provider business mailing address

700 ROCKAWAY TPKE STE 202
LAWRENCE NY
11559-1014
US

V. Phone/Fax

Practice location:
  • Phone: 917-423-6997
  • Fax:
Mailing address:
  • Phone: 917-423-6997
  • 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: YOSEF GALEN
Title or Position: CEO
Credential:
Phone: 917-423-6997