Provider Demographics
NPI:1023648466
Name:PIZANA, DANIEL ARTURO
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ARTURO
Last Name:PIZANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1480
Mailing Address - Country:US
Mailing Address - Phone:956-431-0054
Mailing Address - Fax:832-553-7287
Practice Address - Street 1:2424 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1480
Practice Address - Country:US
Practice Address - Phone:956-431-0054
Practice Address - Fax:832-553-7287
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-19-94755106S00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician