Individual
KYLIE SIDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3841 SAGEBRIAR DR, BRYAN, TX 77802-6107
(210) 447-0039
Mailing address
6222 W IH 10 STE 104, SAN ANTONIO, TX 78201-2013
(210) 447-0028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19035
CA
Other
Enumeration date
07/15/2015
Last updated
09/21/2022
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