Individual
MRS. AGUSTINA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10700 RICHMOND AVE STE 105, HOUSTON, TX 77042-4905
(832) 470-8010
Mailing address
10700 RICHMOND AVE STE 105, HOUSTON, TX 77042-4905
(832) 470-8010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165520
TX
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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