Provider Demographics
NPI:1720674708
Name:THOMAS, DANIELLE B (BCBA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:B
Last Name:THOMAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:B
Other - Last Name:BENOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBA
Mailing Address - Street 1:20914 AUTUMN REDWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5554
Mailing Address - Country:US
Mailing Address - Phone:337-278-2149
Mailing Address - Fax:
Practice Address - Street 1:14135 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1805
Practice Address - Country:US
Practice Address - Phone:337-278-2149
Practice Address - Fax:832-224-2863
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5007103K00000X
TX1-20-45056103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5007OtherTEXAS DEPARTMENT OF LICENSING AND REGULATION