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Individual

MR. JOHNNY RAY YBARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LBA, LCDC

Contact information

Practice address
8546 BROADWAY STE 200, SAN ANTONIO, TX 78217-6340
(210) 526-1806
(210) 547-7984
Mailing address
8546 BROADWAY ST STE 200, SAN ANTONIO, TX 78217-6340
(210) 526-1806
(210) 547-7984

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12124
TX
103K00000X
Behavior Analyst
Primary
8005
TX

Other

Enumeration date
09/15/2011
Last updated
02/12/2025
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