Individual
AUSTIN ANDREW BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT-23-301445
Contact information
Practice address
419 CARSON HL STE 202, SAN ANTONIO, TX 78251-5500
(210) 634-1129
Mailing address
419 CARSON HL STE 202, SAN ANTONIO, TX 78251-5500
(210) 634-1129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-301445
TX
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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