Provider Demographics
NPI:1922460724
Name:SALGADO, SUSANNA RILEY (BCBA)
Entity Type:Individual
Prefix:
First Name:SUSANNA
Middle Name:RILEY
Last Name:SALGADO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:SUSANNA
Other - Middle Name:CAROL
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:6914 BRISBANE CT STE 201
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4924
Mailing Address - Country:US
Mailing Address - Phone:844-272-7223
Mailing Address - Fax:281-946-5565
Practice Address - Street 1:6914 BRISBANE CT STE 201
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4924
Practice Address - Country:US
Practice Address - Phone:844-272-7223
Practice Address - Fax:281-946-5565
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1832103K00000X
TX1-16-24512103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst