Provider Demographics
NPI:1790930774
Name:RICKERL GARRO, JOANIE MARIE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:JOANIE
Middle Name:MARIE
Last Name:RICKERL GARRO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 RED MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-7913
Mailing Address - Country:US
Mailing Address - Phone:832-483-1869
Mailing Address - Fax:
Practice Address - Street 1:3103 RED MAPLE DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-7913
Practice Address - Country:US
Practice Address - Phone:832-483-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-07-3908103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst