Provider Demographics
NPI:1164022109
Name:OLIVAREZ, JULIZZA E
Entity Type:Individual
Prefix:MRS
First Name:JULIZZA
Middle Name:E
Last Name:OLIVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIZZA
Other - Middle Name:E
Other - Last Name:FRESCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1413 GABLES CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7643
Mailing Address - Country:US
Mailing Address - Phone:972-655-7251
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:1413 GABLES CT
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7643
Practice Address - Country:US
Practice Address - Phone:972-655-7251
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician