Provider Demographics
NPI:1356011167
Name:ROSALES, BECKY (BCABA)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:ROSALES
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:ROSALES DOMINGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCABA
Mailing Address - Street 1:6105 WINDCOM CT STE 400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-9003
Mailing Address - Country:US
Mailing Address - Phone:972-312-8733
Mailing Address - Fax:972-378-4747
Practice Address - Street 1:6105 WINDCOM CT STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-9003
Practice Address - Country:US
Practice Address - Phone:972-312-8733
Practice Address - Fax:972-378-4747
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0-21-12523106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst