Organization
SANDIA AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE I WORTMAN BCBA (OWNER)
(505) 933-5961
Entity
Organization
Contact information
Practice address
9123 PALOMAS AVE NE, ALBUQUERQUE, NM 87109-6632
(505) 274-9018
Mailing address
9123 PALOMAS AVE NE, ALBUQUERQUE, NM 87109-6632
(505) 933-5961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
08/10/2021
Last updated
02/16/2026
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