MEDICARE: AADAMARY PENALOZA

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

General Provider Information

NPI Number	:	1568392397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AADAMARY PENALOZA

Provider Business Mailing Address
First Line	:	10401 S MASON RD STE 601-602
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5885
Country	:	US
Telephone Number	:	281-967-0218
Fax Number	:	866-306-6148

Provider Business Practice Location Address
First Line	:	10401 S MASON RD STE 601-602
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5885
Country	:	US
Telephone Number	:	281-967-0218
Fax Number	:	866-306-6148

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

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “ AADAMARY PENALOZA ” Practice Location

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