Healthcare Provider Details

I. General information

NPI: 1063996908
Provider Name (Legal Business Name): NILKA E REY ARMENTEROS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 SILVERWOOD LN
PLANO TX
75075-6248
US

IV. Provider business mailing address

1822 SILVERWOOD LN
PLANO TX
75075-6248
US

V. Phone/Fax

Practice location:
  • Phone: 469-554-5747
  • Fax:
Mailing address:
  • Phone: 469-554-5747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: