Provider Demographics
NPI:1285199455
Name:FRANZESE, PIETRO R (RBT)
Entity Type:Individual
Prefix:
First Name:PIETRO
Middle Name:R
Last Name:FRANZESE
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:133 CHIEFTAIN DR STE 105
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1587
Mailing Address - Country:US
Mailing Address - Phone:469-673-8867
Mailing Address - Fax:214-230-7183
Practice Address - Street 1:133 CHIEFTAIN DR STE 105
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1587
Practice Address - Country:US
Practice Address - Phone:469-673-8867
Practice Address - Fax:214-230-7183
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-18-63875106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician