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

Ryan Jerome Tingley, PROVISIONALLMHC

Individual provider Behavior Technician · NPI 1790273027

Ryan Jerome Tingley, PROVISIONALLMHC is a Behavior Technician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.

Licensed in
NM
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7519 Goshawk Ave NW
Albuquerque, NM 87114-3573
Phone: (505) 803-5658
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CTB-2022-0676 (NM)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1790273027
Entity typeIndividual (Type 1)
GenderMale
Credentials PROVISIONALLMHC
Sole proprietorNo
NPI enumeratedApril 23, 2018
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

Other providers in Albuquerque