Diana Enciso Romero, BCBA
Individual provider Active NPI Behavior Analyst · Willow Park, TX
NPI 1669912069 · NPPES record last updated Dec 19, 2018
Key facts
- NPI
- 1669912069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 429 Squaw Creek Rd
Willow Park, TX 76087-8245 - Phone
- (727) 278-2479
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
429 Squaw Creek Rd
Willow Park, TX 76087-8245
Mailing address
101 S Twin Creek Dr Apt 1910
Killeen, TX 76543-4728
Other providers in Willow Park, TX
- Michael Ross Drennan
- Brynn Dunn
- Ebd Bemc Burleson, LLC
- Corinna Edgington
- Hannah Elder
- Jeremy Chad Everett
- Lindsey Farah-Pirscher
- Anna Farr
- Natasha Faucher
- Kaitlyn Ferreira
All providers in Willow Park, TX · Behavior Analyst in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.