Provider Demographics
NPI:1922139443
Name:FRANCO, JESSICA HETLINGER (PHD,CCC-SLP, BCBA)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:HETLINGER
Last Name:FRANCO
Suffix:
Gender:F
Credentials:PHD,CCC-SLP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S ZARZAMORA ST
Mailing Address - Street 2:COTTAGE #1
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5209
Mailing Address - Country:US
Mailing Address - Phone:210-435-1000
Mailing Address - Fax:210-200-6056
Practice Address - Street 1:701 S ZARZAMORA ST
Practice Address - Street 2:COTTAGE #1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5209
Practice Address - Country:US
Practice Address - Phone:210-435-1000
Practice Address - Fax:210-200-6056
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-02-0778103K00000X
TX19168235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst