| NPI | 1881991990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZELLE REYES Billing Manager 210-587-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 1-09-6584) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2023-11-01 |