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NPI Code Detail

MEDICARE: CASSANDRA DARLENE BALCAZAR

MEDICARE: CASSANDRA DARLENE BALCAZAR
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 : 1255283826
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA DARLENE BALCAZAR
Provider Business Mailing Address
First Line : 1443 CAPRI LN
Second Line :
City : SAN JACINTO
State : CA
Zip : 92583-5235
Country : US
Telephone Number : 951-665-9790
Fax Number :
Provider Business Practice Location Address
First Line : 21801 CACTUS AVE STE A
Second Line :
City : RIVERSIDE
State : CA
Zip : 92518-3020
Country : US
Telephone Number : 833-526-2333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ CASSANDRA DARLENE BALCAZAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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