Individual
DENISSE MEDELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4143 GARDENDALE ST, SAN ANTONIO, TX 78229-3129
(210) 319-9807
Mailing address
1038 SAN FRANCISCO, SAN ANTONIO, TX 78201-4634
(210) 965-0812
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
24372574
TX
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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