Trujillo, Myrna J
Trujillo, Myrna J is an individual health care provider with primary practice located at 2919 Hillrise Dr , Las Cruces NM 88011-4701. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Trujillo, Myrna J can be contacted via phone (575) 522-9500.Contact Information
Primary practice address
2919 Hillrise Dr
Las Cruces NM 88011-4701
Phone: (575) 522-9500
Fax: (575) 523-1108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | New Mexico |
Profile Details
| NPI number | 1952611980 |
|---|---|
| LBN Legal business name | Trujillo, Myrna J |
| Credentials | BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2010 |
| Last updated | Jul 9th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952611980 | NPPES |
| New Mexico | MEDICAID | 29373395 |
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