Individual
MS. JESSICA LYNN GRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013
(210) 447-0039
Mailing address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
TX
Other
Enumeration date
09/09/2014
Last updated
03/29/2022
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