Evangelina Vicencio

NPI #1528889680 in Woodway, Texas

Provider Information

NPI Number: 1528889680
Entity Type: Individual
Name: Evangelina Vicencio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 22, 2024
Last Updated: Oct 22, 2024

Practice Location

Address: 15140 BADGER RANCH BLVD
City: Woodway
State: Texas
ZIP Code: 76712
Phone: (254) 582-2674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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