Individual
JERICHO SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
24200 IH 10 W STE 109, SAN ANTONIO, TX 78257-1150
(210) 263-9443
(726) 999-2625
Mailing address
14100 SAN PEDRO AVE STE 412, SAN ANTONIO, TX 78232-2009
(210) 281-8669
(210) 314-5044
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-22-231989
TX
106S00000X
Behavior Technician
RBT-22-231989
TX
106S00000X
Behavior Technician
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Other
Enumeration date
08/22/2022
Last updated
01/09/2023
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