Individual
MARY WURZBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12746 CIMARRON PATH STE 103C, SAN ANTONIO, TX 78249-3420
(210) 239-0040
Mailing address
12746 CIMARRON PATH STE 103C, SAN ANTONIO, TX 78249-3420
(210) 239-0040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62458
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/08/2020
Last updated
11/08/2022
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