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General NPI Number Information
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NPI Number | 1629935051
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Entity Type | Organization
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Legal Business Name | NEW MEXICO PSYCHOLOGICAL AND BEHAVIORAL SERVICES LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 315 ALAMEDA BLVD NE STE B1
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1569
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Country | US
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Telephone | 505-433-7348
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Fax | 505-433-7348
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Provider Business Mailing Address
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Address Line | 315 ALAMEDA BLVD NE STE B1
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1569
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Country | US
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Telephone | 505-433-7348
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Fax | 505-433-7348
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN MARTINS
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Credential | PHD
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Telephone | 505-433-7348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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