Baca, Andrea Marie
Baca, Andrea Marie is an sole proprietor health care provider with primary practice located at 1217 1St St Nw , Albuquerque NM 87102-1529. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Baca, Andrea Marie can be contacted via phone (505) 766-5197.Contact Information
Primary practice address
1217 1St St Nw
Albuquerque NM 87102-1529
Phone: (505) 766-5197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | New Mexico | |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1083262430 |
|---|---|
| LBN Legal business name | Baca, Andrea Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2019 |
| Last updated | May 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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