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Colby Michael Tyson
Day Training/Habilitation Specialist in Rio Rancho, New Mexico
NPI 1770098543

Colby Michael Tyson is a Day Training/Habilitation Specialist based in Albuquerque, NM. Colby Michael Tyson practices in Rio Rancho, NM. The NPI Number for Colby Michael Tyson is 1770098543 and holds a License No. (New Mexico).

The current practice location address for Colby Michael Tyson is 1207 Golf Course Rd Se, Rio Rancho, NM and can be reached out via phone at 505-994-4100. You can also correspond with Colby Michael Tyson through the mailing address at 6001 MOON ST NE APT 2126, ALBUQUERQUE, NM - 87111-1456 (mailing address contact number: 505-918-2901).

Location: 1207 Golf Course Rd Se, Rio Rancho, NM, 87111-1456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770098543
Provider Name
Colby Michael Tyson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1207 Golf Course Rd Se, Rio Rancho, NM, 87111-1456
Phone Number
505-994-4100
Fax Number
Provider Enumeration Date
12/02/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1207 Golf Course Rd Se
City
Rio Rancho
State
New Mexico
Zip
87124-1999
Phone Number
505-994-4100
Fax Number
person
Provider Business Mailing Address Details
Address
6001 Moon St Ne Apt 2126
City
Albuquerque
State
New Mexico
Zip
87111-1456
Phone Number
505-918-2901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
(New Mexico)
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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