Provider Demographics
NPI:1932069929
Name:ENYINNAYA, DESMOND
Entity type:Individual
Prefix:
First Name:DESMOND
Middle Name:
Last Name:ENYINNAYA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15530 ELLA BLVD APT 1410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-5317
Mailing Address - Country:US
Mailing Address - Phone:346-742-7599
Mailing Address - Fax:866-500-2186
Practice Address - Street 1:15530 ELLA BLVD APT 1410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-5317
Practice Address - Country:US
Practice Address - Phone:346-742-7599
Practice Address - Fax:866-500-2186
Is Sole Proprietor?:No
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50675196103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst