Sage Madeline Diskerud
NPI #1013612746 in San Antonio, Texas
Provider Information
- NPI Number
- 1013612746
- Entity Type
- Individual
- Name
- Sage Madeline Diskerud
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 3, 2023
- Last Updated
- Apr 3, 2023
Practice Location
- Address
- 6222 W IH 10 STE 104
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78201-2013
- Phone
- (210) 447-0039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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