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NPI Code Detail

MEDICARE: TYLANIA CANTRELL RBT

MEDICARE: TYLANIA CANTRELL RBT
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
1106S00000XBehavior TechnicianRBT-24-379282TX

General Provider Information

NPI Number : 1881525996
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLANIA CANTRELL RBT
Provider Business Mailing Address
First Line : 105 E SHADOWBEND AVE
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3859
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 E SHADOWBEND AVE
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3859
Country : US
Telephone Number : 713-893-3906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ TYLANIA CANTRELL RBT” Practice Location

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