Provider Demographics
NPI:1689468050
Name:CURBELO CAVANESS, EDITH VIVIANA
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:VIVIANA
Last Name:CURBELO CAVANESS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 CRESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-7162
Mailing Address - Country:US
Mailing Address - Phone:530-680-5096
Mailing Address - Fax:
Practice Address - Street 1:305 CRESTBROOK DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-7162
Practice Address - Country:US
Practice Address - Phone:530-680-5096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician