Provider Demographics
NPI:1710563895
Name:AMADOR, CINDY IVETTE
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:IVETTE
Last Name:AMADOR
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 1:20734 BLUE FLAGSTONE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1412
Mailing Address - Country:US
Mailing Address - Phone:713-371-8566
Mailing Address - Fax:
Practice Address - Street 1:20734 BLUE FLAGSTONE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1412
Practice Address - Country:US
Practice Address - Phone:713-371-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-18-31122103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst