Individual
AJISHA MONIQUE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11006 RIVER STROLL ST, SAN ANTONIO, TX 78230-2524
(855) 374-4900
(855) 322-3694
Mailing address
3936 FREDERICKBURG ROAD, APT# 1504, SAN ANTONIO, TX 78201-2964
(210) 769-0924
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67346
TX
Other
Enumeration date
12/23/2020
Last updated
08/08/2024
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