Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-21-11819 | TX |
NPI | 1154916286 |
---|---|
Provider Name | Catarina A Nixon |
First Address | New Braunfels, TX 78130-3777 |
Second Address | San Antonio, TX 78217-7821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2021 |
Last Update Date | 01/03/2021 |