Individual
JENICA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(210) 447-0039
Mailing address
234 W BANDERA RD # 325, BOERNE, TX 78006-2805
(210) 771-3166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46025
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/31/2018
Last updated
11/17/2020
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