Individual
CRYSTAL VILANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13218 FROGS LEAP, SAN ANTONIO, TX 78253-4986
(956) 620-1030
Mailing address
8738 MAVERICK RIM, SAN ANTONIO, TX 78250-7112
(956) 620-1030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35375
TX
106S00000X
Behavior Technician
1619262
TX
Other
Enumeration date
07/20/2018
Last updated
03/30/2019
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