Cassandra Jazmin Barraza
Individual provider Active NPI Behavior Analyst · Midvale, UT
NPI 1962057018 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1962057018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 7434 S State St
Midvale, UT 84047-2014 - Phone
- (801) 456-9955
- NPI assigned
- Aug 6, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
7434 S State St
Midvale, UT 84047-2014
Mailing address
7434 S State St
Midvale, UT 84047-2014
Phone (801) 456-9955
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. 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.