IndividualActive
Angie Licon
NPI 1053287615 · Behavior Technician · San Antonio, TX
Angie Licon is a Behavior Technician provider in San Antonio, TX (NPI 1053287615).
Provider details
- NPI number
- 1053287615
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3922 Wiseman Blvd Unit 4
San Antonio, TX 78251-1668
Phone: (210) 981-6836
Street-level locationGet directions
Mailing address
314 Lake Carnegie Ct
Laredo, TX 78041-1984
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Angie Licon's NPI number?
- Angie Licon's National Provider Identifier (NPI) is 1053287615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angie Licon's specialty?
- Angie Licon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Angie Licon located?
- Angie Licon's practice location on file with NPPES is 3922 Wiseman Blvd Unit 4, San Antonio, TX 78251-1668.
- What is Angie Licon's phone number?
- The practice phone number listed in the NPPES registry for Angie Licon is (210) 981-6836.
- Is Angie Licon's NPI active?
- Yes — Angie Licon's NPI (1053287615) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.