NPI 1790416790 · live from the CMS NPI Registry
Active Behavioral Goals LLC
Social Worker, Clinical in San Antonio, TX. National Provider Identifier 1790416790, active.
NPI record
| NPI | 1790416790 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 13242 Hunters Breeze St, San Antonio, TX 78230 |
| Practice phone | 347-927-4409 |
| Enumerated | June 21, 2022 |
| Last updated | June 21, 2022 |
| Authorized official | Leonid Royzman, Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.