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Individual

MARISSA EVELYN CAVAZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1500 BROADWAY, LUBBOCK, TX 79401-3117
(210) 722-3194
Mailing address
1500 BROADWAY, LUBBOCK, TX 79401-3117
(210) 722-3194

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TX
106S00000X
Behavior Technician
21157615
TX

Other

Enumeration date
04/28/2021
Last updated
04/29/2026
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