Westlie Grace Medel

Individual provider Active NPI Behavior Technician · Spicewood, TX

NPI 1003277625 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1003277625
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
19019 State Highway 71 W
Spicewood, TX 78669-6468
Phone
(512) 646-9789
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

19019 State Highway 71 W
Spicewood, TX 78669-6468

Mailing address

620 N Robinson Dr
Robinson, TX 76706-5312

Other practice location 1

620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262

Other names

  • Westlie Grace Aguilar Former name

Other providers in Spicewood, TX

All providers in Spicewood, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.