Healthcare Provider Details

I. General information

NPI: 1174436257
Provider Name (Legal Business Name): SANAIAH NAIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6824 LOGUE LN
WACO TX
76708-7241
US

IV. Provider business mailing address

300 INTERNATIONAL PKWY STE 990
LAKE MARY FL
32746-5035
US

V. Phone/Fax

Practice location:
  • Phone: 254-327-2001
  • Fax:
Mailing address:
  • Phone: 833-288-4761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: