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Individual

ANGELICA DE MARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR ANALYST

Contact information

Practice address
21727 W INTERSTATE 10, SAN ANTONIO, TX 78257-2106
(210) 455-1091
Mailing address
21118 MARKET RDG, SAN ANTONIO, TX 78258-4984

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-62137
TX
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/05/2022
Last updated
10/21/2022
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