Provider Demographics
NPI:1710214127
Name:IGLESIAS, YBETH ZORAYA (BA)
Entity Type:Individual
Prefix:
First Name:YBETH
Middle Name:ZORAYA
Last Name:IGLESIAS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 REDLANDS RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1362
Mailing Address - Country:US
Mailing Address - Phone:505-250-6423
Mailing Address - Fax:505-727-3164
Practice Address - Street 1:6001 REDLANDS RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1362
Practice Address - Country:US
Practice Address - Phone:505-250-6423
Practice Address - Fax:505-727-3164
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst