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NPI Code Detail

MEDICARE: ANGELICA SUAREZ BCBA

MEDICARE: ANGELICA SUAREZ BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-21-52898

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-21-52898OTHERBACB

General Provider Information

NPI Number : 1285252866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA SUAREZ BCBA
Provider Business Mailing Address
First Line : 620 N ROBINSON DR
Second Line :
City : ROBINSON
State : TX
Zip : 76706-5312
Country : US
Telephone Number : 254-732-2262
Fax Number :
Provider Business Practice Location Address
First Line : 7215 BOSQUE BLVD STE 149
Second Line :
City : WACO
State : TX
Zip : 76710-4020
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 06/23/2026

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Directions to “ ANGELICA SUAREZ BCBA” Practice Location

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