Healthcare Provider Details

I. General information

NPI: 1639743867
Provider Name (Legal Business Name): EUNICE DOBLE QBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11131 MCCRACKEN CIR STE A
CYPRESS TX
77429-4463
US

IV. Provider business mailing address

11131 MCCRACKEN CIR STE A
CYPRESS TX
77429-4463
US

V. Phone/Fax

Practice location:
  • Phone: 832-844-0346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBHV-010948
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-142477
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: