MEDICARE: DONAVYN HIGHTOWER

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	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst	1-25-79646	TX

General Provider Information

NPI Number	:	1528735503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONAVYN HIGHTOWER

Provider Business Mailing Address
First Line	:	15851 DALLAS PKWY STE 1150
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-3325
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:

Provider Business Practice Location Address
First Line	:	9240 N SAM HOUSTON PKWY E STE 110
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-5141
Country	:	US
Telephone Number	:	855-782-7822
Fax Number	:

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

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	04/08/2025

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Directions to “ DONAVYN HIGHTOWER ” Practice Location

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