Provider Demographics
NPI:1346921681
Name:PAGUADA MORALES, DIANA MICHELLE (MA, BCBA, LBA)
Entity Type:Individual
Prefix:MISS
First Name:DIANA
Middle Name:MICHELLE
Last Name:PAGUADA MORALES
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:MICHELLE
Other - Last Name:PAGUADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5346 RUE DELA CROIX DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3144
Mailing Address - Country:US
Mailing Address - Phone:832-904-8837
Mailing Address - Fax:
Practice Address - Street 1:25031 WESTHEIMER PKWY # 960
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7317
Practice Address - Country:US
Practice Address - Phone:979-627-8138
Practice Address - Fax:832-551-1695
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-23-67075103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst