Healthcare Provider Details

I. General information

NPI: 1063336659
Provider Name (Legal Business Name): LENIYAHA RENEE SANDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18401 TIMBER FOREST DR
HUMBLE TX
77346-2535
US

IV. Provider business mailing address

16827 BEECHWOOD FOREST WAY
HUMBLE TX
77346-4698
US

V. Phone/Fax

Practice location:
  • Phone: 281-624-5093
  • Fax:
Mailing address:
  • Phone: 346-267-3322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: