MEDICARE: ALICIA DAWN MCFERRIN BCBA, LBA

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	103K00000X	Behavior Analyst	9019	TX

General Provider Information

NPI Number	:	1487144994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA DAWN MCFERRIN BCBA, LBA

Provider Business Mailing Address
First Line	:	9117 TRAIL STEM
Second Line	:
City	:	SCHERTZ
State	:	TX
Zip	:	78154-4027
Country	:	US
Telephone Number	:	940-337-1308
Fax Number	:

Provider Business Practice Location Address
First Line	:	5720 BANDERA RD STE 21
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1985
Country	:	US
Telephone Number	:	210-817-8525
Fax Number	:

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

Provider Enumeration Date	:	05/10/2018
Last Update Date	:	09/17/2025

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