Provider Demographics
NPI:1306738695
Name:RODRIGUEZ PEREZ, SUSANA (RBT)
Entity type:Individual
Prefix:MS
First Name:SUSANA
Middle Name:
Last Name:RODRIGUEZ PEREZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 OLD FARM RD APT 815
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4435
Mailing Address - Country:US
Mailing Address - Phone:832-530-8520
Mailing Address - Fax:
Practice Address - Street 1:2500 OLD FARM RD APT 815
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4435
Practice Address - Country:US
Practice Address - Phone:832-530-8520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician