Individual
GUADALUPE MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
600 N LOOP 1604 E, SAN ANTONIO, TX 78232-1268
(210) 239-0066
Mailing address
1703 N LOOP 1604 W APT 16106, SAN ANTONIO, TX 78258-4723
(915) 875-2197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
106S00000X
Behavior Technician
RBT-19-81958
TX
Other
Enumeration date
03/29/2019
Last updated
03/22/2024
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