Provider Demographics
NPI:1356059976
Name:RAZO, SULEMA YVETTE (RBT)
Entity type:Individual
Prefix:
First Name:SULEMA
Middle Name:YVETTE
Last Name:RAZO
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 1:806 33RD ST
Mailing Address - Street 2:
Mailing Address - City:HIDALGO
Mailing Address - State:TX
Mailing Address - Zip Code:78557-3778
Mailing Address - Country:US
Mailing Address - Phone:956-599-5852
Mailing Address - Fax:
Practice Address - Street 1:806 33RD ST
Practice Address - Street 2:
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557-3778
Practice Address - Country:US
Practice Address - Phone:956-599-5852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician