Healthcare Provider Details

I. General information

NPI: 1609493923
Provider Name (Legal Business Name): DAYANIS CUELLAR EXPOSITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 01/06/2024
Certification Date: 01/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 GREEN DEVON DR
HOUSTON TX
77095-4624
US

IV. Provider business mailing address

15703 LONGENBAUGH DR SUITE H
HOUSTON TX
77095-1605
US

V. Phone/Fax

Practice location:
  • Phone: 832-724-0726
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-21-12548
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: