MEDICARE: DR. SUSAN MOIRA CATLETT PH.D., BCBA-D

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
1	103K00000X	Behavior Analyst	1375	TX

General Provider Information

NPI Number	:	1760016315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN MOIRA CATLETT PH.D., BCBA-D

Provider Business Mailing Address
First Line	:	4724 POST OAK TIMBER DR UNIT 64
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-2226
Country	:	US
Telephone Number	:	713-417-4198
Fax Number	:

Provider Business Practice Location Address
First Line	:	4724 POST OAK TIMBER DR UNIT 64
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-2226
Country	:	US
Telephone Number	:	713-417-4198
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2020
Last Update Date	:	02/22/2020

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Directions to “ DR. SUSAN MOIRA CATLETT PH.D., BCBA-D” Practice Location

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