Individual
ANGELINA ANNETTE CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 W LINDBERGH BLVD, UNIVERSAL CITY, TX 78148-4322
(210) 740-8231
Mailing address
122 W LINDBERGH BLVD, UNIVERSAL CITY, TX 78148-4322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-272551
TX
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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