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NPI Code Detail

MEDICARE: EMILY JULISSA VILLAFUERTE

MEDICARE: EMILY JULISSA VILLAFUERTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianBACB1585413TX

General Provider Information

NPI Number : 1154248722
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JULISSA VILLAFUERTE
Provider Business Mailing Address
First Line : 12702 OLD PINE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77015-2034
Country : US
Telephone Number : 281-984-6013
Fax Number :
Provider Business Practice Location Address
First Line : 13803 MADERA RUN PKWY STE 801
Second Line :
City : HUMBLE
State : TX
Zip : 77346-5364
Country : US
Telephone Number : 138-038-0177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2026
Last Update Date : 07/02/2026

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Directions to “ EMILY JULISSA VILLAFUERTE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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