Provider Demographics
NPI:1922836360
Name:CALVIN, ARIANA ADA MARIE
Entity type:Individual
Prefix:MISS
First Name:ARIANA
Middle Name:ADA MARIE
Last Name:CALVIN
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 1:1406 S ESPINA ST APT 4
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-4251
Mailing Address - Country:US
Mailing Address - Phone:602-473-6336
Mailing Address - Fax:
Practice Address - Street 1:715 E IDAHO AVE STE 3E
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-4702
Practice Address - Country:US
Practice Address - Phone:480-501-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty