Most Relevant Information
Provider Data
| NPI Number: | 1003695586 |
| Provider Name: | AMIRA MASSAD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-299986 |
Most Important Dates
| Enumeration Date: | 09/25/2023 |
| Last Updated: | 09/25/2023 |
Provider Practice Location
151 TANSYL DR
SAN ANTONIO
TX
782132858
Practice Location Phone/Fax
| Phone: | 2107483690 |
| Fax: |
Provider Mailing Location
151 TANSYL DR
SAN ANTONIO
TX
782132858
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |