Individual
ILEANA CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 GRANDSTAND DR, SAN ANTONIO, TX 78238-4508
(855) 772-8847
Mailing address
12600 HILL COUNTRY BLVD STE R-100, BEE CAVE, TX 78738-6748
(512) 565-3898
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51394
TX
106S00000X
Behavior Technician
RBT-19-105389
TX
Other
Enumeration date
09/08/2020
Last updated
09/29/2025
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