Provider Demographics
NPI:1982264214
Name:HOFFART, EMILIE RACHAEL (BCBA)
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:RACHAEL
Last Name:HOFFART
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104A BUCK ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-8653
Mailing Address - Country:US
Mailing Address - Phone:832-720-8882
Mailing Address - Fax:
Practice Address - Street 1:4104A BUCK ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-8653
Practice Address - Country:US
Practice Address - Phone:832-720-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-19-35848103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst