Angelina Annette Cervantes

Individual provider Active NPI Behavior Technician · Universal City, TX

NPI 1992564751 · NPPES record last updated Mar 15, 2024

Key facts

NPI
1992564751
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-272551 (TX)
Practice address
122 W Lindbergh Blvd
Universal City, TX 78148-4322
Phone
(210) 740-8231
NPI assigned
Mar 15, 2024
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

LicenseStateTypeSpecialty
RBT-23-272551TXMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-272551 TX Yes

Addresses

Primary practice location

122 W Lindbergh Blvd
Universal City, TX 78148-4322

Mailing address

122 W Lindbergh Blvd
Universal City, TX 78148-4322

Other providers in Universal City, TX

All providers in Universal City, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.