Organization
MODELOHZ ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MC GARY CASSEUS (MR)
(323) 841-4532
Entity
Organization
Contact information
Practice address
8122 MARBACH RD STE 120, SAN ANTONIO, TX 78227-1690
(210) 257-6632
Mailing address
8122 MARBACH RD STE 120, SAN ANTONIO, TX 78227-1690
(210) 257-6632
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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