MEDICARE: MISS ALYSSA ESTRELLA ROSE CONTRERAS

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	:	1730048471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALYSSA ESTRELLA ROSE CONTRERAS

Provider Business Mailing Address
First Line	:	2600 PALMILLA RD NW
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-4864
Country	:	US
Telephone Number	:	505-856-6880
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 TOME VISTA DR
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-8106
Country	:	US
Telephone Number	:	505-218-1124
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ MISS ALYSSA ESTRELLA ROSE CONTRERAS ” Practice Location

Language	Start Address	Practice Location

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