Healthcare Provider Details

I. General information

NPI: 1447169610
Provider Name (Legal Business Name): TERESA ANNE REYES RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4706 AIRPORT AVE STE C
ROSENBERG TX
77471-5645
US

IV. Provider business mailing address

4910 AIRPORT AVE STE D
ROSENBERG TX
77471-5759
US

V. Phone/Fax

Practice location:
  • Phone: 281-239-1428
  • Fax: 281-239-0828
Mailing address:
  • Phone: 281-239-1443
  • Fax: 281-239-0828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-130313
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: