NPI Code Details Logo

NPI 1881552354

NPI 1881552354 : ACCLIMATE ABA NM LLC : ALBUQUERQUE, NM

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1881552354
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ACCLIMATE ABA NM LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/13/2026
-----------------------------------------------------
    Last Update Date     |    01/13/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1209 MOUNTAIN ROAD PL NE STE 10470 
-----------------------------------------------------
    City                 |    ALBUQUERQUE
-----------------------------------------------------
    State                |    NM
-----------------------------------------------------
    Zip                  |    87110-7845
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    845-826-2903
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    381 SUNRISE HWY STE 300 STE. 300
-----------------------------------------------------
    City                 |    LYNBROOK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11563-3025
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    845-826-2903
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     MARK  KIFFEL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    845-826-2903
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.