Provider Demographics
NPI:1295624450
Name:NIEVES-CINTRON, THALIA
Entity type:Individual
Prefix:
First Name:THALIA
Middle Name:
Last Name:NIEVES-CINTRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 LAUREL PINE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2563
Mailing Address - Country:US
Mailing Address - Phone:832-609-4970
Mailing Address - Fax:
Practice Address - Street 1:11240 FM 1960 RD W STE 209
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3664
Practice Address - Country:US
Practice Address - Phone:954-947-3062
Practice Address - Fax:954-947-3062
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician