Mary Von Witzleben, PHD, BCBA
NPI 1205155603ActiveIndividual· Psychologist· Las Cruces, NM
Psychologist (PHD, BCBA) in Las Cruces, New Mexico, licensed in FL, with an NPI issued in May 2010.
Overview
| NPI | 1205155603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, BCBA |
| Sole proprietor | Yes |
| NPI issued | May 25, 2010 |
| Last updated in NPPES | Jun 12, 2025 |
| Certified by provider | Jun 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Behavior Analyst | 103K00000X | 1095675 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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