MEDICARE: ARIANNA DIAZ ALVAREZ

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	106S00000X	Behavior Technician	RBT-24-395161	TX

General Provider Information

NPI Number	:	1134932908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNA DIAZ ALVAREZ

Provider Business Mailing Address
First Line	:	300 FOREST CENTER DR APT 7110
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5252
Country	:	US
Telephone Number	:	281-815-5403
Fax Number	:	281-605-5054

Provider Business Practice Location Address
First Line	:	300 FOREST CENTER DR APT 7110
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5252
Country	:	US
Telephone Number	:	832-997-0049
Fax Number	:

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

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

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Directions to “ ARIANNA DIAZ ALVAREZ ” Practice Location

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