Provider Demographics
NPI:1811579931
Name:ESPINOSA, CASSANDRA MARIA (BCBA)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MARIA
Last Name:ESPINOSA
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 DUQUESNE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5031
Mailing Address - Country:US
Mailing Address - Phone:210-364-0642
Mailing Address - Fax:
Practice Address - Street 1:540 OAK CENTRE DR STE 111
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3937
Practice Address - Country:US
Practice Address - Phone:877-837-9278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-22-58887103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst