Ileana Carvajal
Behavior Analyst in San Antonio, TX. Individual provider (NPI-1).
NPI number1962016873
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1962016873
- Entity type
- Individual (NPI-1)
- Name
- Ileana Carvajal
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2020
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-51394 | TX | Yes |
| 106S00000X | Behavior Technician | RBT-19-105389 | TX |
Practice location
1920 Grandstand DrSan Antonio, TX 78238-4508
Phone 855-772-8847
Mailing address
12600 Hill Country Blvd Ste R-100Bee Cave, TX 78738-6748
Phone 512-565-3898
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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