Individual
ASHLEY VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12758 CIMARRON PATH STE 127, SAN ANTONIO, TX 78249-3498
(210) 857-8697
Mailing address
12758 CIMARRON PATH STE 127, SAN ANTONIO, TX 78249-3498
(210) 857-8697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-297427
TX
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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