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NPI Code Detail

MEDICARE: SHAMIYA Q. DANIEL

MEDICARE: SHAMIYA Q. DANIEL
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 TechnicianTX

General Provider Information

NPI Number : 1336094242
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMIYA Q. DANIEL
Provider Business Mailing Address
First Line : 450 E LOOP 281 STE B1
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-7969
Country : US
Telephone Number : 903-757-7731
Fax Number : 903-757-3756
Provider Business Practice Location Address
First Line : 450 E LOOP 281 STE B1
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-7969
Country : US
Telephone Number : 903-757-7731
Fax Number : 903-757-3756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ SHAMIYA Q. DANIEL ” Practice Location

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