Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 595039 | TX |
NPI | 1003424565 |
---|---|
Provider Name | Ana Gabriela Davila |
First Address | Killeen, TX 76549-6120 |
Second Address | Killeen, TX 76549-6120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |