Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ilyssa Kisa

Individual provider Behavior Technician · NPI 1083594923

Ilyssa Kisa is a Behavior Technician in Santa Teresa, New Mexico. Licensed in New Mexico. Registered with an NPI since 2025.

Licensed in
NM
In the registry since
2025

Practice location Address checks out

1255 Country Club Rd Ste D
Santa Teresa, NM 88008-9707
Phone: (575) 288-1881
Fax: (575) 288-1889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NM)

Record details

NPI number1083594923
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address1250 Hillrise Cir, Las Cruces, NM 88011-4741

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