MEDICARE: CASSANDRA ROHMER

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1306348958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA ROHMER

Provider Business Mailing Address
First Line	:	21600 OXNARD ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-4976
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8303 CLAIREMONT MESA BLVD STE 201202
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-1326
Country	:	US
Telephone Number	:	760-294-1206
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2018
Last Update Date	:	07/28/2023

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