Individual
ANITA RUTH TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 UNIVERSITY DR E, COLLEGE STATION, TX 77840-5807
(979) 985-9503
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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