Provider Demographics
NPI:1174418636
Name:PUENTES, DANIELLE MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:PUENTES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:PUENTES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:378 COUNTY ROAD 352
Mailing Address - Street 2:
Mailing Address - City:LOUISE
Mailing Address - State:TX
Mailing Address - Zip Code:77455-4077
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5616 LONE STAR PKWY STE 101-102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-2200
Practice Address - Country:US
Practice Address - Phone:210-202-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-25-80263103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst