MEDICARE: GENINNA NOELLE FERRER 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		TX

General Provider Information

NPI Number	:	1609574656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENINNA NOELLE FERRER BCBA, LBA

Provider Business Mailing Address
First Line	:	620 N ROBINSON DR
Second Line	:
City	:	ROBINSON
State	:	TX
Zip	:	76706-5312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2631 GATTIS SCHOOL RD STE 420
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2822
Country	:	US
Telephone Number	:	210-239-0040
Fax Number	:

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

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	03/17/2026

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