Organization
ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA MARIE GUTIERREZ BCBA (BCBA)
(210) 449-3429
Entity
Organization
Contact information
Practice address
9213 BIGBURY, SAN ANTONIO, TX 78254-2010
(210) 449-3429
Mailing address
9213 BIGBURY, SAN ANTONIO, TX 78254-2010
(210) 449-3429
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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