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NPI Code Detail

MEDICARE: MS. CASHAY C FAVORS

MEDICARE: MS. CASHAY C FAVORS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1871240432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CASHAY C FAVORS
Provider Business Mailing Address
First Line : 265 CLIPPER CT
Second Line :
City : ATWATER
State : CA
Zip : 95301-4766
Country : US
Telephone Number : 209-587-9356
Fax Number :
Provider Business Practice Location Address
First Line : DEPT LA 22763
Second Line :
City : PASADENA
State : CA
Zip : 91185-0001
Country : US
Telephone Number : 866-523-4268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 03/03/2022

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Directions to “ MS. CASHAY C FAVORS ” Practice Location

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