Eason, Monica Dale
Eason, Monica Dale is an individual health care provider with primary practice located at 2055 Carlyle Dr , Las Cruces NM 88005-1425. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Eason, Monica Dale can be contacted via phone (575) 652-3155.Contact Information
Primary practice address
2055 Carlyle Dr
Las Cruces NM 88005-1425
Phone: (575) 652-3155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-11794 | |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2846 | New Mexico |
Profile Details
| NPI number | 1710014337 |
|---|---|
| LBN Legal business name | Eason, Monica Dale |
| Credentials | MA., CCC-SLP, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | May 24th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710014337 | NPPES |
| New Mexico | MEDICAID | 26830531 | |
| New Mexico | MEDICAID | 85454770 |
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