MEDICARE: ADELIDE ROSE LLAMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-86798	TX

General Provider Information

NPI Number	:	1861351801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELIDE ROSE LLAMAS

Provider Business Mailing Address
First Line	:	309 COLONY DR
Second Line	:
City	:	PLEASANTON
State	:	TX
Zip	:	78064-4700
Country	:	US
Telephone Number	:	210-232-1418
Fax Number	:

Provider Business Practice Location Address
First Line	:	11121 WESTWOOD LOOP STE 204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-2173
Country	:	US
Telephone Number	:	210-436-8603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “ ADELIDE ROSE LLAMAS ” Practice Location

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