Individual
MISS ALEXANDRIA DEMETRIUS AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 NORTHWEST PKWY STE 115, SAN ANTONIO, TX 78249-3378
(188) 875-4039
Mailing address
5600 BABCOCK RD, SAN ANTONIO, TX 78240-1811
(210) 705-2431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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