Individual
AZARRIA MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18401 TIMBER FOREST DR, HUMBLE, TX 77346-2535
(210) 447-0039
Mailing address
6222 W IH 10 SUITE 104, SAN ANTONIO, TX 78201-2000
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
09/04/2023
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