Individual
CASSANDRA BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11103 WEST AVE STE 108, SAN ANTONIO, TX 78213-4915
(210) 340-2627
Mailing address
11103 WEST AVE STE 108, SAN ANTONIO, TX 78213-4915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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