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

Keili Renee Vidales

Individual provider Behavior Technician · NPI 1497607105

Keili Renee Vidales is a Behavior Technician in Mentmore, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2026

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 596
Mentmore, NM 87319-0596
Phone: (505) 870-0734
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 number1497607105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026