MEDICARE: DENISSE ANDREA MORENO

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	106E00000X	Assistant Behavior Analyst		TX

General Provider Information

NPI Number	:	1821947938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISSE ANDREA MORENO

Provider Business Mailing Address
First Line	:	841 GOMEZ RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79932-4205
Country	:	US
Telephone Number	:	656-193-2098
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 S CAMPBELL ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-2856
Country	:	US
Telephone Number	:	656-193-2098
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ DENISSE ANDREA MORENO ” Practice Location

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