Provider Demographics
NPI:1093596546
Name:MONCADA, ARIANA ARACELI
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:ARACELI
Last Name:MONCADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8524 OLD CABALLERO AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-7028
Mailing Address - Country:US
Mailing Address - Phone:505-506-6467
Mailing Address - Fax:
Practice Address - Street 1:8524 OLD CABALLERO AVE SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-7028
Practice Address - Country:US
Practice Address - Phone:505-506-6467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician