Provider Demographics
NPI:1417668187
Name:CANALES, JOSHUA (RBT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:CANALES
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 LOUETTA RD # 2041
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5155
Mailing Address - Country:US
Mailing Address - Phone:855-673-8889
Mailing Address - Fax:949-449-8889
Practice Address - Street 1:7203 ROUNDROCK PARK LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1582
Practice Address - Country:US
Practice Address - Phone:855-673-1771
Practice Address - Fax:949-449-8889
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-16-15994106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician