Provider Demographics
NPI:1831629617
Name:ALVAREZ, REBEKAH E
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:E
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 NORTH YARABROUGH SUITE B
Mailing Address - Street 2:APT 103
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925
Mailing Address - Country:US
Mailing Address - Phone:940-442-4014
Mailing Address - Fax:
Practice Address - Street 1:2200 NORTH YARABROUGH SUITE B
Practice Address - Street 2:APT 103
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925
Practice Address - Country:US
Practice Address - Phone:940-442-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician