Marcia Nancy Anderson-Vizcarra
Individual provider Active NPI Behavior Technician · Killeen, TX
NPI 1972174647 · NPPES record last updated Jul 5, 2021
Key facts
- NPI
- 1972174647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB541198 (TX)
- Practice address
- 1200 E Stan Schlueter Loop
Killeen, TX 76542-5481 - Phone
- (727) 278-2479
- NPI assigned
- Jul 5, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB541198 | TX | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB541198 | TX | Yes |
Addresses
Primary practice location
1200 E Stan Schlueter Loop
Killeen, TX 76542-5481
Mailing address
1200 E Stan Schlueter Loop
Killeen, TX 76542-5481
Phone (727) 278-2479
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2021. 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.