Healthcare Provider Details

I. General information

NPI: 1396650438
Provider Name (Legal Business Name): MRS. ISABELLA SACRISTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PAT BOOKER RD STE 206
UNIVERSAL CITY TX
78148-4148
US

IV. Provider business mailing address

2090 SUNDANCE PKWY APT 8105
NEW BRAUNFELS TX
78130-0047
US

V. Phone/Fax

Practice location:
  • Phone: 210-439-1386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB1229866
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: