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NPI Code Detail

MEDICARE: SHAILY GUDIEL

MEDICARE: SHAILY GUDIEL
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1760156756
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAILY GUDIEL
Provider Business Mailing Address
First Line : 6516 BROADWAY ST
Second Line : SUITE 112
City : PEARLAND
State : TX
Zip : 77581-7880
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2743 SMITH RANCH RD STE 704
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5218
Country : US
Telephone Number : 281-215-3985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2021
Last Update Date : 05/14/2025

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Directions to “ SHAILY GUDIEL ” Practice Location

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