Individual
KASANDRA QUIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2499 S CAPITAL OF TEXAS HWY BLDG B, AUSTIN, TX 78746-7762
(512) 732-2511
Mailing address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-16-20666
BACB
—
Enumeration date
09/10/2018
Last updated
09/10/2018
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