Individual
AILENE M IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14235 BLANCO RD, SAN ANTONIO, TX 78216-7718
(210) 415-9626
Mailing address
746 LEAL ST, SAN ANTONIO, TX 78207-2336
(210) 843-9971
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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