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NPI Code Detail

MEDICARE: RICHARD RAY MAESTAS

MEDICARE:   RICHARD RAY MAESTAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1114878634
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD RAY MAESTAS
Provider Business Mailing Address
First Line : 2707 LUCCA RD SW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-7011
Country : US
Telephone Number : 505-415-6533
Fax Number :
Provider Business Practice Location Address
First Line : 2707 LUCCA RD SW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-7011
Country : US
Telephone Number : 505-415-6533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ RICHARD RAY MAESTAS ” Practice Location

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