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NPI Code Detail

MEDICARE: SAMANTHA ALVAREZ

MEDICARE: SAMANTHA ALVAREZ
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
1103K00000XBehavior AnalystNM
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1225553191
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ALVAREZ
Provider Business Mailing Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number : 575-520-6074
Fax Number :
Provider Business Practice Location Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number : 575-520-6074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 04/24/2025

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Directions to “ SAMANTHA ALVAREZ ” Practice Location

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