MEDICARE: DAYANIS CUELLAR EXPOSITO

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	106E00000X	Assistant Behavior Analyst	0-21-12548	TX

General Provider Information

NPI Number	:	1609493923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYANIS CUELLAR EXPOSITO

Provider Business Mailing Address
First Line	:	15703 LONGENBAUGH DR
Second Line	:	SUITE H
City	:	HOUSTON
State	:	TX
Zip	:	77095-1605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8111 GREEN DEVON DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-4624
Country	:	US
Telephone Number	:	832-724-0726
Fax Number	:

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

Provider Enumeration Date	:	07/02/2020
Last Update Date	:	01/06/2024

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Directions to “ DAYANIS CUELLAR EXPOSITO ” Practice Location

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