Provider Demographics
NPI:1922610591
Name:JUAREZ, JANEK
Entity Type:Individual
Prefix:
First Name:JANEK
Middle Name:
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 S BRAESWOOD BLVD APT 616
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-1324
Mailing Address - Country:US
Mailing Address - Phone:832-726-3947
Mailing Address - Fax:
Practice Address - Street 1:20502 PROVIDENCE POINT DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2054
Practice Address - Country:US
Practice Address - Phone:832-786-9638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician