Provider Demographics
NPI:1457768004
Name:LABAT, CASSANDRA ANDREA
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:ANDREA
Last Name:LABAT
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 1:509 E KIAMICHI ST
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:OK
Mailing Address - Zip Code:74743-7021
Mailing Address - Country:US
Mailing Address - Phone:786-449-5545
Mailing Address - Fax:
Practice Address - Street 1:509 E KIAMICHI ST
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:OK
Practice Address - Zip Code:74743-7021
Practice Address - Country:US
Practice Address - Phone:786-449-5545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
0-17-8122106E00000X
FL1-20-46210103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst