NPI 1962057018 · live from the CMS NPI Registry
Cassandra Jazmin Barraza
Behavior Analyst in Midvale, UT. National Provider Identifier 1962057018, active.
NPI record
| NPI | 1962057018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7434 S State St, Midvale, UT 84047 |
| Practice phone | 801-456-9955 |
| Enumerated | August 6, 2019 |
| Last updated | August 6, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.