Jaramillo-Avila, Angel J

Jaramillo-Avila, Angel J is an individual health care provider with primary practice located at 920 W Broadway , Hobbs NM 88240. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Jaramillo-Avila, Angel J can be contacted via phone (575) 393-3168.

Contact Information

Primary practice address
920 W Broadway Hobbs NM 88240
Phone: (575) 393-3168
Fax: (575) 397-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1922501931
LBN Legal business name Jaramillo-Avila, Angel J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2018
Last updated Oct 18th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922501931 NPPES
New Mexico MEDICAID 00046300

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