Provider Demographics
NPI:1710580147
Name:PINERO, ATHENA (RBT)
Entity Type:Individual
Prefix:
First Name:ATHENA
Middle Name:
Last Name:PINERO
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 1:1201 S MAYS ST
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6707
Mailing Address - Country:US
Mailing Address - Phone:512-305-3920
Mailing Address - Fax:
Practice Address - Street 1:1201 S MAYS ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6707
Practice Address - Country:US
Practice Address - Phone:512-305-3920
Practice Address - Fax:512-861-9092
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician