Organization
BEHAVIORAL SUPPORT CENTER, LLC
Active
Other names
BSC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY R. YBARRA LCDC, MAC, SAP, QASP (CEO/EXECUTIVE DIRECTOR)
(210) 526-1806
Entity
Organization
Contact information
Practice address
8546 BROADWAY ST BLDG C, BLDG C SUITE 200, SAN ANTONIO, TX 78217-6376
(210) 526-1806
(210) 547-7984
Mailing address
8546 BROADWAY ST, STE. 200, SAN ANTONIO, TX 78217-6376
(210) 526-1806
(210) 547-7984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDC TX: 12124
TX
103K00000X
Behavior Analyst
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
05/25/2016
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