Individual
MRS. ANDREAH BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12175 NETWORK BLVD, SAN ANTONIO, TX 78249-3413
(210) 797-7181
Mailing address
327 W SUNSET RD APT 2108, SAN ANTONIO, TX 78209-1743
(956) 240-6344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78266
TX
106S00000X
Behavior Technician
RBT-22-223213
TX
Other
Enumeration date
07/30/2024
Last updated
01/17/2025
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