Citlali Cisneros

Individual provider Active NPI Behavior Technician · Benbrook, TX

NPI 1801786116 · NPPES record last updated Aug 5, 2025

Key facts

NPI
1801786116
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6220 Southwest Blvd
Benbrook, TX 76109-6906
Phone
(855) 223-7123
NPI assigned
Jul 8, 2025
Sex
Unspecified or another gender identity
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6220 Southwest Blvd
Benbrook, TX 76109-6906

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone (619) 753-6961

Other providers in Benbrook, TX

All providers in Benbrook, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.