Provider Demographics
NPI:1134827694
Name:CAMPOS, SARAI (RBT)
Entity type:Individual
Prefix:MRS
First Name:SARAI
Middle Name:
Last Name:CAMPOS
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 1:4302 STONEHENGE TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3636
Mailing Address - Country:US
Mailing Address - Phone:832-570-7694
Mailing Address - Fax:
Practice Address - Street 1:4302 STONEHENGE TRL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3636
Practice Address - Country:US
Practice Address - Phone:832-570-7694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician