Provider Demographics
NPI:1023901907
Name:ANAYA-CAMPOS, JHERIKA J
Entity type:Individual
Prefix:
First Name:JHERIKA
Middle Name:J
Last Name:ANAYA-CAMPOS
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 1:6414 ROADRUNNER LOOP NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-5159
Mailing Address - Country:US
Mailing Address - Phone:505-892-6842
Mailing Address - Fax:
Practice Address - Street 1:6414 ROADRUNNER LOOP NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-5159
Practice Address - Country:US
Practice Address - Phone:505-892-6842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician