Healthcare Provider Details

I. General information

NPI: 1235434218
Provider Name (Legal Business Name): BARBARA METZGER PHD, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2659 EISENHAUER RD
SAN ANTONIO TX
78209-3456
US

IV. Provider business mailing address

2659 EISENHAUER RD
SAN ANTONIO TX
78209-3456
US

V. Phone/Fax

Practice location:
  • Phone: 210-340-2627
  • Fax: 210-293-2181
Mailing address:
  • Phone: 210-340-2627
  • Fax: 210-293-2181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-02-0934
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: