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NPI Code Detail

MEDICARE: VICTORIA ALICIA VILLANUEVA

MEDICARE: VICTORIA ALICIA VILLANUEVA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1457095952
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ALICIA VILLANUEVA
Provider Business Mailing Address
First Line : 5850 GRANITE PKWY STE 600
Second Line :
City : PLANO
State : TX
Zip : 75024-6753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 140 HEIMER RD STE 710
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-5070
Country : US
Telephone Number : 210-366-0059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2022
Last Update Date : 04/21/2022

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Directions to “ VICTORIA ALICIA VILLANUEVA ” Practice Location

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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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