Provider Demographics
NPI:1407646193
Name:CERVANTEZ, JOCELYN (RBT LICENSE)
Entity type:Individual
Prefix:MISS
First Name:JOCELYN
Middle Name:
Last Name:CERVANTEZ
Suffix:
Gender:
Credentials:RBT LICENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 65TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-3422
Mailing Address - Country:US
Mailing Address - Phone:806-778-5537
Mailing Address - Fax:806-778-5537
Practice Address - Street 1:3501 S LOOP 289
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1139
Practice Address - Country:US
Practice Address - Phone:806-796-1774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-23-254347106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician