Anelisa Marie Coronado, RBT, CPR
Behavior Technician in Katy, TX. Individual provider (NPI-1).
NPI number1629705397
StatusActive
Last updated in NPPESAug 3, 2022
Details
- NPI
- 1629705397
- Entity type
- Individual (NPI-1)
- Name
- Anelisa Marie Coronado
- Credential
- RBT, CPR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2022
- Certification date
- Aug 3, 2022
- Last updated
- Aug 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-216349 | TX | Yes |
Practice location
2710 N Mason RdKaty, TX 77449-4176
Phone 281-505-9338
Mailing address
2710 N Mason RdKaty, TX 77449-4176
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