MEDICARE: DEANA WINFIELD

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	RBT-25-489197

General Provider Information

NPI Number	:	1609550383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANA WINFIELD

Provider Business Mailing Address
First Line	:	12230 PELICANO DR.
Second Line	:	SUITE B
City	:	EL PASO
State	:	TX
Zip	:	79936
Country	:	US
Telephone Number	:	915-613-5255
Fax Number	:

Provider Business Practice Location Address
First Line	:	12230 PELICANO DR.
Second Line	:	SUITE B
City	:	EL PASO
State	:	TX
Zip	:	79936
Country	:	US
Telephone Number	:	915-613-5255
Fax Number	:

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

Provider Enumeration Date	:	06/13/2023
Last Update Date	:	12/10/2025

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Directions to “ DEANA WINFIELD ” Practice Location

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