Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | TX |
NPI | 1003408204 |
---|---|
Provider Name | Vanessa Alvarez |
First Address | San Antonio, TX 78229-2152 |
Second Address | San Antonio, TX 78249-3378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2021 |
Last Update Date | 09/02/2021 |