Individual
ANELISA MARIE CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, CPR
Contact information
Practice address
2710 N MASON RD, KATY, TX 77449-4176
(281) 505-9338
Mailing address
2710 N MASON RD, KATY, TX 77449-4176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-216349
TX
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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