Camino Real Community MHMR Center
Organization Active NPI Behavior Analyst · Lytle, TX
NPI 1780197491 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1780197491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- CAMINO REAL COMMUNITY MHMR CENTER
- Practice address
- 19965 FM 3175
Lytle, TX 78052-3481 - Phone
- (210) 357-0300
- Fax
- (830) 772-4305
- NPI assigned
- Nov 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Lynnette Danielle Aguilar, BCBA
- Title
- Idd Behavioral Services Director
- Phone
- (830) 266-5450
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
19965 FM 3175
Lytle, TX 78052-3481
Mailing address
19965 FM 3175
Lytle, TX 78052-3481
Phone (210) 357-0300
Other practice location 1
19971 Fm 3175
Lytle, TX 78052-3481
Phone (830) 266-5450
Other names
- Camino Real Community Services
Other providers in Lytle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.