MEDICARE: MS. CELESTE CAZARES

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		CA

General Provider Information

NPI Number	:	1801741269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CELESTE CAZARES

Provider Business Mailing Address
First Line	:	608 SEAGULL DR
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-2320
Country	:	US
Telephone Number	:	559-348-9225
Fax Number	:	844-833-2150

Provider Business Practice Location Address
First Line	:	608 SEAGULL DR
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-2320
Country	:	US
Telephone Number	:	559-348-9225
Fax Number	:	844-833-2150

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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