Provider Demographics
NPI:1962844274
Name:DEHOYOS, CARISSA RENEE (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:CARISSA
Middle Name:RENEE
Last Name:DEHOYOS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:
Other - Last Name:DEHOYOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5924 PETTY ST UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1083
Mailing Address - Country:US
Mailing Address - Phone:713-301-0345
Mailing Address - Fax:
Practice Address - Street 1:10777 WESTHEIMER RD STE 1100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3462
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-28
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1725103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1725OtherTEXAS DEPARTMENT OF LICENSING AND REGULATION
1-17-29727OtherBEHAVIOR ANALYST CERTIFICATION BOARD