Provider Demographics
NPI:1043017346
Name:PEREZ, YVETTE MONIQUE
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:MONIQUE
Last Name:PEREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:MONIQUE
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9 PROFESSIONAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4142
Mailing Address - Country:US
Mailing Address - Phone:832-240-4563
Mailing Address - Fax:281-715-5610
Practice Address - Street 1:9 PROFESSIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4142
Practice Address - Country:US
Practice Address - Phone:832-240-4563
Practice Address - Fax:281-715-5610
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-379898106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician