| Doctor Name: | MR. JOHNNY RAY YBARRA |
| NPI Number: | 1861774887 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCDC, MAC, SAP, QASP |
| License Number: | QABA QASP #8046 |
| Business Practice Address: | 8546 Broadway St Bldg C Suite 200 San Antonio, TX - 782176376 |
| Business Phone Number: | 2105261806 |
| Business Fax Number: | 2105477984 |
| Mailing Address: | 8546 Broadway St Ste 200, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782176340 |
| Phone Number: | 2105261806 |
| Fax Number: | 2105477984 |
| NPI Enumeration Date: | 09/15/2011 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103K00000X |
| License Number: | QABA QASP #8046 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Behavioral Analyst |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. |