Provider Demographics
NPI:1740636893
Name:FLORES, CASSANDRA MARI IGAMA (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MARI IGAMA
Last Name:FLORES
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 1:18762 LIPOMA PL E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-4565
Mailing Address - Country:US
Mailing Address - Phone:206-491-5894
Mailing Address - Fax:
Practice Address - Street 1:18762 LIPOMA PL E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-4565
Practice Address - Country:US
Practice Address - Phone:206-694-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst