Individual
FATIMA AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4143 GARDENDALE ST, SAN ANTONIO, TX 78229-3129
(210) 319-9807
Mailing address
2714 GRANT DR, PHARR, TX 78577-7232
(956) 708-6624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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