Provider Demographics
NPI:1013575190
Name:VILANOVA, NATASHA (RBT)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:VILANOVA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:ARRIETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:903 PROTON RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4203
Mailing Address - Country:US
Mailing Address - Phone:210-228-9923
Mailing Address - Fax:
Practice Address - Street 1:903 PROTON RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4203
Practice Address - Country:US
Practice Address - Phone:210-228-9923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-16-18772106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician