Provider Demographics
NPI:1316679434
Name:WOLFF, CECILY GRACE (RBT, CPR)
Entity type:Individual
Prefix:
First Name:CECILY
Middle Name:GRACE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:RBT, CPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16712 HUFFMEISTER RD BLDG 500
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8050
Mailing Address - Country:US
Mailing Address - Phone:281-746-6037
Mailing Address - Fax:
Practice Address - Street 1:16712 HUFFMEISTER RD BLDG 500
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8050
Practice Address - Country:US
Practice Address - Phone:281-746-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-22-221056106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician