Provider Demographics
NPI:1558189555
Name:CAVAZOS, MASHA
Entity type:Individual
Prefix:
First Name:MASHA
Middle Name:
Last Name:CAVAZOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 BERGIN DR APT G
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4852
Mailing Address - Country:US
Mailing Address - Phone:831-220-2031
Mailing Address - Fax:
Practice Address - Street 1:2700 GARDEN RD
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5380
Practice Address - Country:US
Practice Address - Phone:831-200-3392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst