Selena Dezirae Quintanilla
NPI #1538903737 in Georgetown, Texas
Provider Information
- NPI Number
- 1538903737
- Entity Type
- Individual
- Name
- Selena Dezirae Quintanilla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 21, 2024
- Last Updated
- Jun 21, 2024
Practice Location
- Address
- 501 COUNTY ROAD 126
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-2416
- Phone
- (512) 677-0959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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