Provider Demographics
NPI:1386443810
Name:ROMERO RODRIGUEZ, ANAIS FLORK (RBT)
Entity type:Individual
Prefix:
First Name:ANAIS
Middle Name:FLORK
Last Name:ROMERO RODRIGUEZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19519 HARDWOOD RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4785
Mailing Address - Country:US
Mailing Address - Phone:346-333-7308
Mailing Address - Fax:
Practice Address - Street 1:3750 E PALM VALLEY BLVD UNIT 44
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3314
Practice Address - Country:US
Practice Address - Phone:561-512-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-167271106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician