MEDICARE: STEPHANY CALDERON I

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	:	1588194146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANY CALDERON I

Provider Business Mailing Address
First Line	:	1420 CARLISLE BLVD NE STE 100
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-5662
Country	:	US
Telephone Number	:	818-241-6780
Fax Number	:

Provider Business Practice Location Address
First Line	:	3512 ROSS AVE SE APT A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-1654
Country	:	US
Telephone Number	:	505-385-5260
Fax Number	:

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

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	08/11/2021

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

1609405315 — CARL T WHALEN
Practice Location Address:

3121 CARLISLE BLVD NE
ALBUQUERQUE, NM
87110-1654

Practice Phone: 505-228-2108
Practice Fax: 505-205-1514

1104527514 — DUKE CITY OCCUPATIONAL HEALTHCARE, LLC
Practice Location Address:

3121 CARLISLE BLVD NE
ALBUQUERQUE, NM
87110-1654

Practice Phone: 505-228-2108
Practice Fax: 505-205-1514

1457238453 — ELLIOR FUERST
Practice Location Address:

2600 MARBLE AVE NE
ALBUQUERQUE, NM
87106-2058

Practice Phone: 505-272-5935
Practice Fax:

1952249427 — GRISELDA BARAJAS
Practice Location Address:

2211 LOMAS BLVD NE
ALBUQUERQUE, NM
87106-2719

Practice Phone: 505-272-2111
Practice Fax:

1578431938 — SOPHEAP LY
Practice Location Address:

1100 CENTRAL AVE SE
ALBUQUERQUE, NM
87106-4930

Practice Phone: 505-841-1125
Practice Fax: 505-841-1737

Directions to “ STEPHANY CALDERON I ” 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.