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NPI Code Detail

MEDICARE: STACY RAE ARAGON

MEDICARE: STACY RAE ARAGON
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 Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255899001
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY RAE ARAGON
Provider Business Mailing Address
First Line : 4700 IRVING BLVD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-4283
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 4700 IRVING BLVD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-4283
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2019
Last Update Date : 11/21/2025

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Directions to “ STACY RAE ARAGON ” Practice Location

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