Provider Demographics
NPI:1407745078
Name:PITA, CLAUDIA LUCIA
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LUCIA
Last Name:PITA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6249 LOVE DR APT 1221
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4060
Mailing Address - Country:US
Mailing Address - Phone:469-418-0020
Mailing Address - Fax:
Practice Address - Street 1:6249 LOVE DR APT 1221
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-4060
Practice Address - Country:US
Practice Address - Phone:469-418-0020
Practice Address - Fax:469-418-0020
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50548607106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician