MEDICARE: ACCLIMATE ABA NM LLC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1881552354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCLIMATE ABA NM LLC

Provider Business Mailing Address
First Line	:	381 SUNRISE HWY STE 300
Second Line	:	STE. 300
City	:	LYNBROOK
State	:	NY
Zip	:	11563-3025
Country	:	US
Telephone Number	:	845-826-2903
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 MOUNTAIN ROAD PL NE STE 10470
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7845
Country	:	US
Telephone Number	:	845-826-2903
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MARK KIFFEL
Credential	:
Telephone Number	:	845-826-2903

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ACCLIMATE ABA NM LLC ” Practice Location

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