Nicole Rene Gerland, RBT

Individual provider Active NPI Behavior Technician · Cibolo, TX

NPI 1477048072 · NPPES record last updated Jun 26, 2018

Key facts

NPI
1477048072
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
411 Opie LN
Cibolo, TX 78108-4121
Phone
(210) 372-5881
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
Yes

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
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

411 Opie LN
Cibolo, TX 78108-4121

Mailing address

411 Opie LN
Cibolo, TX 78108-4121
Phone (210) 372-5881

Other providers in Cibolo, TX

All providers in Cibolo, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.