Provider Demographics
NPI:1033296413
Name:BARRERA, DIANA MARCELA (MOT OTR, BCBA)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:MARCELA
Last Name:BARRERA
Suffix:
Gender:F
Credentials:MOT OTR, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24818 COOPER VLY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2317
Mailing Address - Country:US
Mailing Address - Phone:954-540-1360
Mailing Address - Fax:210-698-6940
Practice Address - Street 1:24818 COOPER VLY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-2317
Practice Address - Country:US
Practice Address - Phone:954-540-1360
Practice Address - Fax:210-698-6940
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
1096577103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst