Provider Demographics
NPI:1013755016
Name:ARANIEGO, ABBY BULAN
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:BULAN
Last Name:ARANIEGO
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 1:9547 FLINT ROCK DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-3024
Mailing Address - Country:US
Mailing Address - Phone:917-636-2723
Mailing Address - Fax:
Practice Address - Street 1:9547 FLINT ROCK DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-3024
Practice Address - Country:US
Practice Address - Phone:917-636-2723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician