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

PHOENYX GREDELJ

Active

PHOENYX GREDELJ is a Behavior Technician healthcare provider located in LAS CRUCES, New Mexico. NPI 1639994627 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LAS CRUCES, NM

Registration Details

NPI Number
1639994627
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2024 (1.561493983696 yrs)
Last Updated
Nov 15, 2024

Practice Information

Address
3621 MARION LN
LAS CRUCES, NM, 880127579
Browse NM providers · Browse ZIP 88012
Phone
5755206074
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in LAS CRUCES, NM

Name Credential NPI
PAMELA BARRERA 1710369806
KAYLA TEAGUE 1467834630
ASPEN PLEASANT 1649635350
JAMEY GALLEGOS BS, RBT 1104289511
JUAN SORIA RBT 1659827038
CHRISTINA GONZALES RBT 1821548553
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.