Provider Demographics
NPI:1407422611
Name:ALVAREZ, CATHERINE YVONNE BAGBY (RBT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:YVONNE BAGBY
Last Name:ALVAREZ
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 1:2614 THREE WILLOWS CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4026
Mailing Address - Country:US
Mailing Address - Phone:804-514-2609
Mailing Address - Fax:
Practice Address - Street 1:7353 WHITEPINE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23237-2260
Practice Address - Country:US
Practice Address - Phone:804-921-2389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician