Healthcare Provider Details

I. General information

NPI: 1700701497
Provider Name (Legal Business Name): DANIELLA ANYANWU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25031 WESTHEIMER PKWY UNIT 960
KATY TX
77494-7317
US

IV. Provider business mailing address

7115 S MASON RD
RICHMOND TX
77407-4077
US

V. Phone/Fax

Practice location:
  • Phone: 197-962-7813
  • Fax:
Mailing address:
  • Phone: 346-558-1886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-426719
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: