Koehne, Gia

Koehne, Gia is an sole proprietor health care provider with primary practice located at 14235 Blanco Rd , San Antonio TX 78216-7718. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Koehne, Gia can be contacted via phone (210) 415-9626.

Contact Information

Primary practice address
14235 Blanco Rd San Antonio TX 78216-7718
Phone: (210) 415-9626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-09-6584
Behavioral Health & Social Service Providers / Clinical 103TC0700X 34439 Texas

Profile Details

NPI number 1922214832
LBN Legal business name Koehne, Gia
Credentials PSY.D., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Nov 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922214832 NPPES
Texas MEDICAID 206449-04

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