Provider Demographics
NPI:1760016315
Name:CATLETT, SUSAN MOIRA (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MOIRA
Last Name:CATLETT
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4724 POST OAK TIMBER DR UNIT 64
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-2226
Mailing Address - Country:US
Mailing Address - Phone:713-417-4198
Mailing Address - Fax:
Practice Address - Street 1:4724 POST OAK TIMBER DR UNIT 64
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-2226
Practice Address - Country:US
Practice Address - Phone:713-417-4198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-22
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1375103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst