Provider Demographics
NPI:1598390411
Name:CARREON, GLADYS (RBT)
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:
Last Name:CARREON
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 1:8101 KUYKENDAHL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1563
Mailing Address - Country:US
Mailing Address - Phone:832-562-3189
Mailing Address - Fax:
Practice Address - Street 1:8101 KUYKENDAHL RD STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1563
Practice Address - Country:US
Practice Address - Phone:832-562-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician