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NPI Code Detail

MEDICARE: DAISY AILYN BANDA M.S., BCBA, LBA

MEDICARE:   DAISY AILYN BANDA  M.S., BCBA, LBA
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
1103K00000XBehavior Analyst9405TX

General Provider Information

NPI Number : 1720656036
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY AILYN BANDA M.S., BCBA, LBA
Provider Business Mailing Address
First Line : 7215 BOSQUE BLVD.
Second Line : SUITE 149
City : WACO
State : TX
Zip : 76710-4020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7215 BOSQUE BLVD.
Second Line : SUITE 149
City : WACO
State : TX
Zip : 76710-4020
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 06/24/2026

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Directions to “ DAISY AILYN BANDA M.S., BCBA, LBA” Practice Location

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