Provider Demographics
NPI:1518719491
Name:SIDNEZ, AREYIA
Entity Type:Individual
Prefix:
First Name:AREYIA
Middle Name:
Last Name:SIDNEZ
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 1:1022 BLUEBIRD LN
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1238
Mailing Address - Country:US
Mailing Address - Phone:254-630-1225
Mailing Address - Fax:254-313-0129
Practice Address - Street 1:1022 BLUEBIRD LN
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1238
Practice Address - Country:US
Practice Address - Phone:254-630-1225
Practice Address - Fax:254-313-0129
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician