Individual
MARILYN MARIE JASKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 CENTRAL PKWY S, SAN ANTONIO, TX 78232-5021
(210) 798-2273
Mailing address
1020 CENTRAL PKWY S, SAN ANTONIO, TX 78232-5021
(210) 798-2273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-135042
TX
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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