Individual
BIANCA ISABELLA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 PROTON RD, SAN ANTONIO, TX 78258-4203
(866) 610-0580
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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