Individual
MRS. STEPHANIE R HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED. BCBA, LBA
Contact information
Practice address
9245 E 119TH ST S, BIXBY, OK 74008-1857
(210) 573-6451
Mailing address
9245 E 119TH ST S, BIXBY, OK 74008-1857
(210) 573-6451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53676
OK
2355S0801X
Speech-Language Assistant
34603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538491972
—
TX
Enumeration date
02/10/2010
Last updated
12/20/2022
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