Individual
NICOLE CANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 599-7733
Mailing address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8818
TX
106E00000X
Assistant Behavior Analyst
4349
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/13/2020
Last updated
08/04/2025
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