Provider Demographics
NPI:1518775519
Name:MARQUEZ, ANGELA CASHMIERE
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CASHMIERE
Last Name:MARQUEZ
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 1:9874 ROAD 101
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:NE
Mailing Address - Zip Code:69336-2718
Mailing Address - Country:US
Mailing Address - Phone:308-655-5233
Mailing Address - Fax:
Practice Address - Street 1:9874 ROAD 101
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:NE
Practice Address - Zip Code:69336-2718
Practice Address - Country:US
Practice Address - Phone:308-665-5233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst