MEDICARE: DANIELLE B THOMAS BCBA

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	103K00000X	Behavior Analyst	5007	TX
2	103K00000X	Behavior Analyst	1-20-45056	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5007	OTHER	TX	TEXAS DEPARTMENT OF LICENSING AND REGULATION

General Provider Information

NPI Number	:	1720674708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE B THOMAS BCBA

Provider Business Mailing Address
First Line	:	20914 AUTUMN REDWOOD WAY
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-5554
Country	:	US
Telephone Number	:	337-278-2149
Fax Number	:

Provider Business Practice Location Address
First Line	:	14135 HUFFMEISTER RD
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-1805
Country	:	US
Telephone Number	:	337-278-2149
Fax Number	:	832-224-2863

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

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	08/18/2025

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