Stella Trevino Anderson
Technician, Other in Austin, TX. Individual provider (NPI-1).
NPI number1114561404
StatusActive
Last updated in NPPESNov 4, 2019
Details
- NPI
- 1114561404
- Entity type
- Individual (NPI-1)
- Name
- Stella Trevino Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2019
- Last updated
- Nov 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
3403b Garden Villa LnAustin, TX 78704-6915
Phone 407-718-9710
Mailing address
2703 Addison AveAustin, TX 78757-2316
Phone 512-773-3260
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