Lilliana Nissa Shivley, RBT
Behavior Technician in San Antonio, TX. Individual provider (NPI-1).
NPI number1801597331
StatusActive
Last updated in NPPESMar 13, 2023
Details
- NPI
- 1801597331
- Entity type
- Individual (NPI-1)
- Name
- Lilliana Nissa Shivley
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2023
- Certification date
- Mar 13, 2023
- Last updated
- Mar 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
15656 Classen RdSan Antonio, TX 78247-2184
Phone 210-797-7181
Mailing address
15656 Classen RdSan Antonio, TX 78247-2184
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