Individual
CASSANDRA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
(972) 756-1222
Mailing address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-52917
TX
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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