Corynn Cassidy BCBA

NPI 1538456249 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1538456249
Gender Female
Enumeration Date 07/01/2011
Last Updated 04/03/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1419 ESSINGTON RD
JOLIET IL, 60435-2873, US
Phone (815) 729-2160
Fax (815) 729-2958
Business Location
1419 ESSINGTON RD
JOLIET IL, 60435-2873, US
Phone
Fax
Toxanomy
Taxonomy Code 222Q00000X
License State Illinois
License Number CC67650411P
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According to our database, Corynn Cassidy BCBA NPI is 1538456249, taxonomy code is 222Q00000X and license number is CC67650411P, license state is located at Illinois. Corynn Cassidy BCBA physically located at 1419 Essington Rd, Joliet IL, 60435-2873. NPI Number Corynn Cassidy BCBA has the Individual type.

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1538456249 NPI number is provided on an as is basis without warranty of any kind. 1538456249 is maintained by the National Plan & Provider Enumeration System. The contents of Corynn Cassidy BCBA are for informational purposes only.