Individual
BERTICE JUANITA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 HIGH RIDGE CIR, SAN ANTONIO, TX 78229-4143
(210) 212-2534
Mailing address
1018 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78210-2203
(210) 422-4943
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1286461
TX
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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