Provider Demographics
NPI:1730844218
Name:SARAVIA, DAVID JEFFREY
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JEFFREY
Last Name:SARAVIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 LOMA LINDA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-3620
Mailing Address - Country:US
Mailing Address - Phone:128-177-3643
Mailing Address - Fax:
Practice Address - Street 1:11135 HARLEM ROAD
Practice Address - Street 2:SUITE 250
Practice Address - City:RICHMOND, TX 77406
Practice Address - State:TX
Practice Address - Zip Code:77406-7740
Practice Address - Country:US
Practice Address - Phone:281-773-6432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-189149106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician