Evelyn Jeanine Bath
Behavior Technician in San Antonio, TX. Individual provider (NPI-1).
NPI number1902575889
StatusActive
Last updated in NPPESSep 13, 2021
Details
- NPI
- 1902575889
- Entity type
- Individual (NPI-1)
- Name
- Evelyn Jeanine Bath
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2021
- Certification date
- Sep 13, 2021
- Last updated
- Sep 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Elliot James Bath (Other Name)
Practice location
9002 Culebra Rd Ste 105San Antonio, TX 78251-2875
Phone 830-455-3396
Mailing address
21600 Oxnard StWoodland Hills, CA 91367-4976
Phone 818-345-2345
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