IndividualActive
Angie Ibarra Polania
NPI 1306618178 · Behavior Technician · Santa Teresa, NM
Provider details
- NPI number
- 1306618178
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1255 Country Club Rd
Santa Teresa, NM 88008-9707
Phone: (575) 288-1881
Fax: (575) 288-1889
Approximate (ZIP-level) locationGet directions
Mailing address
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Registry dates
- Enumerated
- 2023-10-25
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.