MEDICARE: SHREYA ENJETI

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
1	106E00000X	Assistant Behavior Analyst		TX

General Provider Information

NPI Number	:	1275469629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHREYA ENJETI

Provider Business Mailing Address
First Line	:	4574 CAPE CHARLES DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-7342
Country	:	US
Telephone Number	:	972-880-0965
Fax Number	:

Provider Business Practice Location Address
First Line	:	4574 CAPE CHARLES DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-7342
Country	:	US
Telephone Number	:	972-880-0965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

Similar Medicare Providers

1164305215 — ASIYAMARY PM&R CONSULTANCY PLLC
Practice Location Address:

4701 14TH ST APT 14101
PLANO, TX
75074-7342

Practice Phone: 646-388-1358
Practice Fax:

1518200294 — LORA KINGSLEY M.S., LPC
Practice Location Address:

8105 RASOR BLVD STE 238
PLANO, TX
75024-0154

Practice Phone: 214-402-0981
Practice Fax:

1922460476 — JESSICA GRIMM CALLAWAY
Practice Location Address:

5300 DEMOCRACY DR STE 110
PLANO, TX
75024-3546

Practice Phone: 469-838-3837
Practice Fax:

1497681142 — KENDALL WALKER
Practice Location Address:

6000 COLUMBUS AVE APT 2410
PLANO, TX
75024-6172

Practice Phone: 903-949-1192
Practice Fax:

1083540579 — LORRIE MAES
Practice Location Address:

5022 TENNYSON PKWY
PLANO, TX
75024-3151

Practice Phone: 214-491-5083
Practice Fax:

1700716347 — LESLIE YULIANA COUOH
Practice Location Address:

5044 TENNYSON PKWY
PLANO, TX
75024-2952

Practice Phone: 972-378-4104
Practice Fax:

Directions to “ SHREYA ENJETI ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.