Individual provider · NPI-1
Mariah Cassie Alvarez
Behavior Analyst · Killeen, TX
NPI number1205558392
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1205558392
- Entity type
- Individual (NPI-1)
- Name
- Mariah Cassie Alvarez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2022
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 101Y00000X | Counselor | – | – |
Practice location
3000 Illinois AveKilleen, TX 76543-5371
Phone 254-402-4800
Mailing address
1805 Lava LnKilleen, TX 76549-4902
Phone 862-262-4020
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