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Organization
VIBRANT ABA SOLUTIONS LLC
Active
Organization
VIBRANT ABA SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAITE HARRIS BCBA (OWNER)
(210) 319-9807
Entity
Organization
Contact information
Practice address
7507 VIRTUOSO PASS, SAN ANTONIO, TX 78266-2944
(210) 702-1611
Mailing address
11844 BANDERA RD # 201, HELOTES, TX 78023-4132
(210) 319-9807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB566250
TRICARE
—
Enumeration date
04/27/2021
Last updated
04/27/2021
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