National Provider Identifier Database

DAVID BURCIAGA, YOUTH CARE-BONEM HM – NPI #1134452105
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

DAVID BURCIAGA, YOUTH CARE-BONEM HM
1111 W. FIR
PORTALES, NM88101
Phone: 575-356-5112
Fax: 505-820-9220
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for DAVID BURCIAGA

NPI Number 1134452105
Credentials YOUTH CARE-BONEM HM
Entity Individual
Enumeration date 09/09/2009
Last updated 03/17/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • NM Medicaid: L7904
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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