Provider Demographics
NPI:1245102177
Name:DIAZ DE MOYA, EYLEEN (RBT)
Entity type:Individual
Prefix:
First Name:EYLEEN
Middle Name:
Last Name:DIAZ DE MOYA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 RIVERCREST DR APT 1513
Mailing Address - Street 2:APARTAMENT 1513
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4153
Mailing Address - Country:US
Mailing Address - Phone:786-623-1595
Mailing Address - Fax:
Practice Address - Street 1:3535 BRIARPARK DR STE 248
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5241
Practice Address - Country:US
Practice Address - Phone:832-800-3058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-25-444192106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician