MEDICARE: DR. PATRICIA DEOLIVEIRALIMAMUNOZ PHD

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	8404	TX

General Provider Information

NPI Number	:	1174979835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA DEOLIVEIRALIMAMUNOZ PHD

Provider Business Mailing Address
First Line	:	23410 GRAND RESERVE DR STE 701
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-4983
Country	:	US
Telephone Number	:	832-437-0704
Fax Number	:

Provider Business Practice Location Address
First Line	:	23410 GRAND RESERVE DR STE 701
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-4983
Country	:	US
Telephone Number	:	832-437-0704
Fax Number	:	832-218-0038

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

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	11/06/2025

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