Provider Demographics
NPI:1336662709
Name:NARANJO, ABRIAN JOVAN
Entity Type:Individual
Prefix:MR
First Name:ABRIAN
Middle Name:JOVAN
Last Name:NARANJO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 MERLIDA ST SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-2453
Mailing Address - Country:US
Mailing Address - Phone:505-401-0238
Mailing Address - Fax:
Practice Address - Street 1:428 MERLIDA ST SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-2453
Practice Address - Country:US
Practice Address - Phone:505-401-0238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician