MEDICARE: DIANA N SHIYUKAH

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	:	1699629360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA N SHIYUKAH

Provider Business Mailing Address
First Line	:	113 HIDEAWAY CIR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-3562
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3418 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-4206
Country	:	US
Telephone Number	:	832-780-4054
Fax Number	:

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

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ DIANA N SHIYUKAH ” Practice Location

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