Toledo- Ontiveros, Melissa Ann
Toledo- Ontiveros, Melissa Ann is an individual health care provider with primary practice located at 301 Perkins Dr , Las Cruces NM 88005-3758. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Toledo- Ontiveros, Melissa Ann can be contacted via phone (505) 977-9722.Contact Information
Primary practice address
301 Perkins Dr
Las Cruces NM 88005-3758
Phone: (505) 977-9722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0129951 | New Mexico |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1740513696 |
|---|---|
| LBN Legal business name | Toledo- Ontiveros, Melissa Ann |
| Credentials | M.A., M.C.J, M.P.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2009 |
| Last updated | Sep 2nd, 2014 - about 12 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 | 1740513696 | NPPES |
| New Mexico | MEDICAID | B9311 |
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