Healthcare Provider Details

I. General information

NPI: 1699608752
Provider Name (Legal Business Name): LOUISA SAWYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8330 JEFFERSON ST NE
ALBUQUERQUE NM
87113-1686
US

IV. Provider business mailing address

4509 SHEPARD RD NE APT A316
ALBUQUERQUE NM
87110-1837
US

V. Phone/Fax

Practice location:
  • Phone: 505-225-5323
  • Fax:
Mailing address:
  • Phone: 725-296-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: