Provider Demographics
NPI:1003789082
Name:MODUFLEX
Entity type:Organization
Organization Name:MODUFLEX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KINNUNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-974-5821
Mailing Address - Street 1:8509 PLYMOUTH ROCK RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-5037
Mailing Address - Country:US
Mailing Address - Phone:505-974-5821
Mailing Address - Fax:
Practice Address - Street 1:8509 PLYMOUTH ROCK RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-5037
Practice Address - Country:US
Practice Address - Phone:505-974-5821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services