Bianca Cavazos, SLP ASSISTANT

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

32821 Issued in TX

Practice address

12000 Network Blvd Ste 105a
San Antonio, TX 78249-3344

Phone

(915) 444-0945

NPI assigned

Jul 18, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Bird Pediatric Therapy Clinic, Inc

  • Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1639538077
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1235977612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 RIVER BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472918",
            "telephone_number": "210-601-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 NETWORK BLVD STE 105A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493344",
            "telephone_number": "915-444-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "BIANCA",
        "credential": "SLP ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "32821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rae Cavazos
• Alyssa Marie Cavazos
• Antonio Cavazos III, M.D.
• Antonio Cavazos Jr., M.D.
• Bernard Rudolph Cavazos Jr., M.D.
• Carlos Cavazos, LPC
• Carolyn Lewallen Cavazos, MD
• Cora Cavazos, SLP-A
• Criselda Cavazos, MS,CCC-SLP
• Diana Mercedes Cavazos, RN, MSN, MHSA, PHD

• Speech-Language Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.