Individual
MS. MELISSA ANN TOLEDO- ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., M.C.J, M.P.A.
Contact information
Practice address
301 PERKINS DR, LAS CRUCES, NM 88005-3758
(505) 977-9722
Mailing address
1430 E MESA AVE APT 18, LAS CRUCES, NM 88001-5786
(505) 977-9722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0129951
NM
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9311
—
NM
Enumeration date
09/10/2009
Last updated
09/02/2014
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