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NPI Code Detail

MEDICARE: SUSANNA RILEY SALGADO BCBA

MEDICARE: SUSANNA RILEY SALGADO 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 Analyst1832TX
2103K00000XBehavior Analyst1-16-24512TX

General Provider Information

NPI Number : 1922460724
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANNA RILEY SALGADO BCBA
Provider Business Mailing Address
First Line : 6914 BRISBANE CT STE 201
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-4924
Country : US
Telephone Number : 844-272-7223
Fax Number : 281-946-5565
Provider Business Practice Location Address
First Line : 6914 BRISBANE CT STE 201
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-4924
Country : US
Telephone Number : 844-272-7223
Fax Number : 281-946-5565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 06/01/2023

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Directions to “ SUSANNA RILEY SALGADO BCBA” Practice Location

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