Healthcare Provider Details

I. General information

NPI: 1194493072
Provider Name (Legal Business Name): ESMERALDA CUELLAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E PFLUGERVILLE PKWY
PFLUGERVILLE TX
78660-2799
US

IV. Provider business mailing address

1601 E PFLUGERVILLE PKWY
PFLUGERVILLE TX
78660-2799
US

V. Phone/Fax

Practice location:
  • Phone: 512-540-5411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-83334
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: