Tanya Borrego

Individual provider Active NPI Behavior Technician · Benbrook, TX

NPI 1750004347 · NPPES record last updated Sep 20, 2022

Key facts

NPI
1750004347
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6211 Southwest Blvd
Benbrook, TX 76132-1080
Phone
(817) 249-8100
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6211 Southwest Blvd
Benbrook, TX 76132-1080

Mailing address

6211 Southwest Blvd
Benbrook, TX 76132-1080
Phone (817) 249-8100

Other providers in Benbrook, TX

All providers in Benbrook, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.