Provider Demographics
NPI:1194469932
Name:SUAREZ, EMILY MARIE (RBT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:SUAREZ
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 1:1204 BLUEBONNET HILL DR
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-7505
Mailing Address - Country:US
Mailing Address - Phone:214-773-4003
Mailing Address - Fax:
Practice Address - Street 1:5000 SCHERTZ PKWY
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1399
Practice Address - Country:US
Practice Address - Phone:214-773-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician