Individual
AUTUMN VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 E CONCHO AVE, SAN ANGELO, TX 76903-5947
(325) 777-2727
(325) 777-2737
Mailing address
136 E CONCHO AVE, SAN ANGELO, TX 76903-5947
(325) 777-2727
(325) 777-2737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-183626
TX
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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