Provider Demographics
NPI:1629863840
Name:ISAAC, ESTELLE (RBT)
Entity type:Individual
Prefix:
First Name:ESTELLE
Middle Name:
Last Name:ISAAC
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 1:4772 E YAGER LN APT 16210
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-0590
Mailing Address - Country:US
Mailing Address - Phone:580-379-2543
Mailing Address - Fax:
Practice Address - Street 1:4772 E YAGER LN APT 16210
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-0590
Practice Address - Country:US
Practice Address - Phone:580-379-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician