Healthcare Provider Details

I. General information

NPI: 1750218368
Provider Name (Legal Business Name): DESIREE DAWN SAINZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 PALMILLA RD NW
LOS LUNAS NM
87031-4864
US

IV. Provider business mailing address

28 BARELA RD
BELEN NM
87002-4801
US

V. Phone/Fax

Practice location:
  • Phone: 505-859-6880
  • Fax:
Mailing address:
  • Phone: 505-859-9332
  • 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: