Provider Demographics
NPI:1851003339
Name:POSADA, INDRA A I
Entity Type:Individual
Prefix:
First Name:INDRA
Middle Name:A
Last Name:POSADA
Suffix:I
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 1:7400 SAN PEDRO DR NE APT 2010
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4695
Mailing Address - Country:US
Mailing Address - Phone:505-514-7331
Mailing Address - Fax:
Practice Address - Street 1:7400 SAN PEDRO DR NE APT 2010
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4695
Practice Address - Country:US
Practice Address - Phone:505-514-7331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician