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NPI Code Detail

MEDICARE: FELICITY GRACE DAVILA

MEDICARE: FELICITY GRACE DAVILA
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
1103K00000XBehavior Analyst
2106S00000XBehavior TechnicianRBT-22-235759TX

General Provider Information

NPI Number : 1417725003
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICITY GRACE DAVILA
Provider Business Mailing Address
First Line : 12000 NETWORK BLVD STE 210
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3353
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12000 NETWORK BLVD STE 210
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3353
Country : US
Telephone Number : 888-611-0870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2023
Last Update Date : 05/01/2025

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Directions to “ FELICITY GRACE DAVILA ” Practice Location

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