Individual
ANISSA SIDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4143 GARDENDALE, GARDENDALE ST, SAN ANTONIO, TX 78229-7822
(210) 267-2290
Mailing address
2803 PIPING ROCK, SAN ANTONIO, TX 78253-5072
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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