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General NPI Number Information
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NPI Number | 1518871342
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Entity Type | Organization
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Legal Business Name | SIERRA BEHAVIORAL THERAPY NEW MEXICO LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 3209 VILLAGE OAK DR
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City | ARLINGTON
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State | TX
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Zip | 76017-2532
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Country | US
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Telephone | 786-306-9184
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Fax |
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Provider Business Mailing Address
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Address Line | 3209 VILLAGE OAK DR
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City | ARLINGTON
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State | TX
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Zip | 76017-2532
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Country | US
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Telephone | 786-306-9184
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR, CEO
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Name | MARTHA SIERRA FERNANDEZ
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Credential | BCBA, LBA
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Telephone | 786-306-9184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NULL
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