MEDICARE: BEXY MAYARA CALA PUPO

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-25-487400	TX

General Provider Information

NPI Number	:	1780536672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEXY MAYARA CALA PUPO

Provider Business Mailing Address
First Line	:	6464 E SAM HOUSTON PKWY N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049-7248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6464 E SAM HOUSTON PKWY N
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049-7248
Country	:	US
Telephone Number	:	786-256-7823
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ BEXY MAYARA CALA PUPO ” Practice Location

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