Individual
CAITLYNN STAR CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10604 N TRADEMARK PKWY, RANCHO CUCAMONGA, CA 91730-5938
(909) 476-5747
Mailing address
2222 JORNADA DR, PERRIS, CA 92571-3344
(760) 684-2460
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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