Healthcare Provider Details

I. General information

NPI: 1790694644
Provider Name (Legal Business Name): MI MUNDO BEHAVIORAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2506 SENNA DR
RIO GRANDE CITY TX
78582-2271
US

IV. Provider business mailing address

2506 SENNA DR
RIO GRANDE CITY TX
78582-2271
US

V. Phone/Fax

Practice location:
  • Phone: 956-437-3423
  • Fax:
Mailing address:
  • Phone: 956-437-3423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: TERESITA DE JESUS ALANIS
Title or Position: LICENSED BEHAVIOR ANALYST
Credential: LBA
Phone: 956-437-3423