MEDICARE: MARIAH HOFMANN

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		TX

General Provider Information

NPI Number	:	1568390557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH HOFMANN

Provider Business Mailing Address
First Line	:	4420 SWALLOW AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-6448
Country	:	US
Telephone Number	:	956-624-2447
Fax Number	:

Provider Business Practice Location Address
First Line	:	3124 CENTER POINTE DR, EDINBURG, TX 78539
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539
Country	:	US
Telephone Number	:	956-694-1568
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ MARIAH HOFMANN ” Practice Location

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