Provider Demographics
NPI:1053964270
Name:SOMESHWAR, RISHIKA
Entity type:Individual
Prefix:
First Name:RISHIKA
Middle Name:
Last Name:SOMESHWAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20702 STONE OAK PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7478
Mailing Address - Country:US
Mailing Address - Phone:210-544-5201
Mailing Address - Fax:
Practice Address - Street 1:20702 STONE OAK PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7478
Practice Address - Country:US
Practice Address - Phone:210-544-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2023-07-24
Deactivation Date:2023-06-23
Deactivation Code:
Reactivation Date:2023-07-22
Provider Licenses
StateLicense IDTaxonomies
TX5989103K00000X
TXRBT-19-92509106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician