Provider Demographics
NPI:1407552276
Name:DE LA GARZA, ALIYAH MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:ALIYAH
Middle Name:MARIE
Last Name:DE LA GARZA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 BROADWAY BEND DR STE 108
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2291
Mailing Address - Country:US
Mailing Address - Phone:281-223-5070
Mailing Address - Fax:
Practice Address - Street 1:2941 BROADWAY BEND DR STE 108
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2291
Practice Address - Country:US
Practice Address - Phone:281-223-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-25-83895103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst