DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESERAY NICHOLE SUPRISE

Active

DESERAY NICHOLE SUPRISE is a Behavior Technician healthcare provider located in HOLLOMAN AFB, New Mexico. NPI 1144873142 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · HOLLOMAN AFB, NM

Registration Details

NPI Number
1144873142
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2019 (6.8956041864028 yrs)
Last Updated
Jul 18, 2019

Practice Information

Address
2516 CATRON LOOP APT B
HOLLOMAN AFB, NM, 883307415
Browse NM providers · Browse ZIP 88330
Phone
9565027475
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in HOLLOMAN AFB, NM

Name Credential NPI
AMY M RAILEY 1053793596
MRS. HEATHER HARPER 1952845273
SABRINA BYRNS 1083123806
FELICIA IMOGEN WEBB 1134616402
MRS. ARIEL L KUHN 1528551462
JESSICA ANN O'BANION 1942772124
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.