Healthcare Provider Details

I. General information

NPI: 1366226136
Provider Name (Legal Business Name): SABRINA FLOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 03/24/2026
Certification Date: 11/03/2025
Deactivation Date: 01/07/2026
Reactivation Date: 03/24/2026

III. Provider practice location address

277 E AMADOR AVE
LAS CRUCES NM
88001-3677
US

IV. Provider business mailing address

3621 MARION LN
LAS CRUCES NM
88012-7579
US

V. Phone/Fax

Practice location:
  • Phone: 505-392-3482
  • Fax:
Mailing address:
  • Phone: 915-603-0794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: