Provider Demographics
NPI:1013390194
Name:WILLINGHAM, FRANCISCA BENCH (MA, LBA, BCBA)
Entity type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:BENCH
Last Name:WILLINGHAM
Suffix:
Gender:F
Credentials:MA, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 CULEBRA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-2873
Mailing Address - Country:US
Mailing Address - Phone:210-580-5900
Mailing Address - Fax:
Practice Address - Street 1:9002 CULEBRA RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-2873
Practice Address - Country:US
Practice Address - Phone:210-580-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-15-18960103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst