NPI 1770023962 · live from the CMS NPI Registry
A Balanced Child , PLLC
Behavior Analyst in San Antonio, TX. National Provider Identifier 1770023962, active.
NPI record
| NPI | 1770023962 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 13003 Jones Maltsberger Rd, San Antonio, TX 78247 |
| Practice phone | 210-979-2044 |
| Enumerated | March 7, 2017 |
| Last updated | May 14, 2026 |
| Authorized official | Serica Cuellar, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.