Provider Demographics
NPI:1528628815
Name:CALDERON, PIA
Entity type:Individual
Prefix:
First Name:PIA
Middle Name:
Last Name:CALDERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PIA
Other - Middle Name:
Other - Last Name:VALDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2315 SAN PEDRO DR NE STE F10
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4158
Mailing Address - Country:US
Mailing Address - Phone:209-814-8040
Mailing Address - Fax:
Practice Address - Street 1:2315 SAN PEDRO DR NE STE F10
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4158
Practice Address - Country:US
Practice Address - Phone:209-814-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-19-9858106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst