Provider Demographics
NPI:1548506298
Name:PABON-CRUZ, EMILY MARIE (PSYD, BCBA)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MARIE
Last Name:PABON-CRUZ
Suffix:
Gender:F
Credentials:PSYD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S MAYS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6709
Mailing Address - Country:US
Mailing Address - Phone:787-405-3310
Mailing Address - Fax:
Practice Address - Street 1:9001 AMBERGLEN BLVD APT 9210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-1133
Practice Address - Country:US
Practice Address - Phone:787-405-3310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004570103TC0700X
TX1-18-31576103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical