Individual
DIANE MARIE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LCSW
Contact information
Practice address
6502 BANDERA RD # 212, SAN ANTONIO, TX 78238-1400
(210) 325-7156
Mailing address
8430 TIMBER CREST ST, SAN ANTONIO, TX 78250-4405
(210) 325-7156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-32382
TX
1041C0700X
Clinical Social Worker
Primary
33388
TX
Other
Enumeration date
10/05/2018
Last updated
08/02/2023
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