Individual
BAYLEE SCHUYLENE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1402 BOBBINS RDG, SAN ANTONIO, TX 78260-6291
(210) 788-1917
Mailing address
1402 BOBBINS RDG, SAN ANTONIO, TX 78260-6291
(210) 788-1917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-65502
TX
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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