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NPI Code Detail

MEDICARE: LISA FUENTES

MEDICARE: LISA FUENTES
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
1103K00000XBehavior Analyst1-12-10330

General Provider Information

NPI Number : 1285908897
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA FUENTES
Provider Business Mailing Address
First Line : 620 N ROBINSON DR
Second Line :
City : ROBINSON
State : TX
Zip : 76706-5312
Country : US
Telephone Number : 254-749-1132
Fax Number :
Provider Business Practice Location Address
First Line : 620 N ROBINSON DR
Second Line :
City : ROBINSON
State : TX
Zip : 76706-5312
Country : US
Telephone Number : 254-749-1132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2012
Last Update Date : 12/09/2025

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Directions to “ LISA FUENTES ” 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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