Cassandra Cantrell, RBT
Individual provider Active NPI Behavior Technician · Quinlan, TX
NPI 1700514940 · NPPES record last updated Aug 14, 2022
Key facts
- NPI
- 1700514940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB823857 (TX)
- Practice address
- 1004 Hemlock Dr
Quinlan, TX 75474-3116 - Phone
- (903) 513-9329
- NPI assigned
- Aug 14, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB823857 | TX | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB823857 | TX | Yes |
Addresses
Primary practice location
1004 Hemlock Dr
Quinlan, TX 75474-3116
Mailing address
1004 Hemlock Dr
Quinlan, TX 75474-3116
Phone (903) 513-9329
Other providers in Quinlan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.