Healthcare Provider Details

I. General information

NPI: 1811822901
Provider Name (Legal Business Name): NIURKA ESPINOSA-VARONA I RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6615 ALLEN DR
CONROE TX
77304-5121
US

IV. Provider business mailing address

6615 ALLEN DR
CONROE TX
77304-5121
US

V. Phone/Fax

Practice location:
  • Phone: 615-541-3323
  • Fax:
Mailing address:
  • Phone: 615-541-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-486981
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: