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

KERESOMA TIALAVEA

Active Sole Proprietor

KERESOMA TIALAVEA is a Behavior Technician healthcare provider located in SILVER CITY, New Mexico. NPI 1487185518 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SILVER CITY, NM

Registration Details

NPI Number
1487185518
Provider Type
Individual
Gender
Male
NPI Issued
Mar 21, 2017 (9.4109034175913 yrs)
Last Updated
Mar 21, 2017
Sole Proprietor
Yes

Practice Information

Address
1109 W COLLEGE AVE APT 2
SILVER CITY, NM, 880614100
Browse NM providers · Browse ZIP 88061
Phone
4157302365
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SILVER CITY, NM

Name Credential NPI
BRITTANY LEIGH CHIAPETTI 1144759622
MS. JAZMIN CARRILLO 1104355320
MS. HEATHER LYNN PHELPS 1811419005
MISS RYANN PERRY 1073012381
MRS. TARA ARIAS 1609369206
MS. SPRI WHEATLEY 1356810899
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.