Provider Demographics
NPI:1407154289
Name:ARELLANO, ORLANDO JAY
Entity type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:JAY
Last Name:ARELLANO
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 1:3888 STONEY BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3685
Mailing Address - Country:US
Mailing Address - Phone:575-202-3687
Mailing Address - Fax:
Practice Address - Street 1:1089 W AMADOR AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2742
Practice Address - Country:US
Practice Address - Phone:575-532-5593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst