Provider Demographics
NPI:1891525861
Name:BAILEY, NEISHA RASHEL
Entity type:Individual
Prefix:MS
First Name:NEISHA
Middle Name:RASHEL
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 VERBENA DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-6289
Mailing Address - Country:US
Mailing Address - Phone:505-410-4328
Mailing Address - Fax:
Practice Address - Street 1:1921 VERBENA DR NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-6289
Practice Address - Country:US
Practice Address - Phone:505-410-4328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician