Individual
ADELICIA S HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HEIMER RD STE 170, SAN ANTONIO, TX 78232-5028
(210) 366-0049
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
43539814
TX
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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