Healthcare Provider Details

I. General information

NPI: 1831001742
Provider Name (Legal Business Name): NIEMA NUNEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6031 BELL ST
AMARILLO TX
79109-6618
US

IV. Provider business mailing address

6031 BELL ST
AMARILLO TX
79109-6618
US

V. Phone/Fax

Practice location:
  • Phone: 806-418-2546
  • Fax: 806-500-2772
Mailing address:
  • Phone: 806-418-2546
  • Fax: 806-500-2772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-526964
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: