MEDICARE: EVAN SWEET

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366306193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN SWEET

Provider Business Mailing Address
First Line	:	24200 IH 10 W STE 109
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1150
Country	:	US
Telephone Number	:	210-263-9776
Fax Number	:

Provider Business Practice Location Address
First Line	:	24200 IH 10 W STE 109
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1150
Country	:	US
Telephone Number	:	210-263-9776
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ EVAN SWEET ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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