Provider Demographics
NPI:1437762432
Name:VELARDO, KASSANDRA A (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:A
Last Name:VELARDO
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 COLE ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-5017
Mailing Address - Country:US
Mailing Address - Phone:702-955-8316
Mailing Address - Fax:
Practice Address - Street 1:708 MAIN ST FL 10
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-3246
Practice Address - Country:US
Practice Address - Phone:954-947-3756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-25-85541103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst