Individual
AUTUMN VILLESCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3750 E PALM VALLEY BLVD UNIT 44, ROUND ROCK, TX 78665-3314
(561) 512-1177
Mailing address
3750 E PALM VALLEY BLVD UNIT 44, ROUND ROCK, TX 78665-3314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-376116
TX
Other
Enumeration date
04/04/2025
Last updated
04/06/2025
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