MEDICARE: TYLER MONTGOMERY MOUND

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1144768326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER MONTGOMERY MOUND

Provider Business Mailing Address
First Line	:	1323 COPPER AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4601
Country	:	US
Telephone Number	:	505-910-7016
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 COPPER AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4601
Country	:	US
Telephone Number	:	505-910-7016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	02/07/2017

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1740206432 — LINDA M COBLE ED.D.
Practice Location Address:

4601 JUAN TABO BLVD NE
ALBUQUERQUE, NM
87111-2626

Practice Phone: 505-821-3628
Practice Fax: 505-856-7103

1376552950 — CARRIE PORTS LMHC
Practice Location Address:

4601 PARADISE BLVD NW
ALBUQUERQUE, NM
87114-6074

Practice Phone: 505-508-0808
Practice Fax: 888-896-8728

1548462047 — TINA C LA TURNER M.A. LPCC
Practice Location Address:

4601 PARADISE BLVD NW , SUITE 113
ALBUQUERQUE, NM
87114-6074

Practice Phone: 505-610-9985
Practice Fax: 888-801-4244

1174751572 — SONJA STRACK LCSW
Practice Location Address:

4601 JUAN TABO BLVD NE
ALBUQUERQUE, NM
87111-2626

Practice Phone: 505-821-3628
Practice Fax: 505-856-7103

1790019024 — LESLE D PRICE LCSW
Practice Location Address:

4601 PARADISE BLVD NW , SUITE 102
ALBUQUERQUE, NM
87114-6074

Practice Phone: 505-319-5912
Practice Fax:

Directions to “ TYLER MONTGOMERY MOUND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.