Provider Demographics
NPI:1972212744
Name:CASMIR, REYNA MARIA (CD(DONA))
Entity type:Individual
Prefix:
First Name:REYNA
Middle Name:MARIA
Last Name:CASMIR
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N TWIN CREEK DR APT 604
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-4247
Mailing Address - Country:US
Mailing Address - Phone:254-281-2822
Mailing Address - Fax:
Practice Address - Street 1:1001 N TWIN CREEK DR APT 604
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-4247
Practice Address - Country:US
Practice Address - Phone:254-281-2822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2024-12-11
Deactivation Date:2023-10-13
Deactivation Code:
Reactivation Date:2023-12-05
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 374J00000X
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician