MEDICARE: DIVYA PATEL MS, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		TX
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1033370846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIVYA PATEL MS, BCBA

Provider Business Mailing Address
First Line	:	10777 WESTHEIMER RD STE 1100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3462
Country	:	US
Telephone Number	:	661-313-5964
Fax Number	:

Provider Business Practice Location Address
First Line	:	10777 WESTHEIMER RD STE 1100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3462
Country	:	US
Telephone Number	:	661-313-5964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	01/28/2026

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Directions to “ DIVYA PATEL MS, BCBA” Practice Location

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