Individual provider · Type 1 NPI

Angie D. Licon

Behavior Technician · San Antonio, TX

NPI number 1053287615 Active

Practice location

3922 Wiseman Blvd Unit 4
San Antonio, TX 78251-1668

Call (210) 981-6836 Map

Mailing address

314 Lake Carnegie Ct
Laredo, TX 78041-1984

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1053287615

Angie D. Licon's National Provider Identifier is 1053287615, issued on Oct 13, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 13, 2025.