Individual
CASSIUS STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E RUDISILL BLVD STE 100, FORT WAYNE, IN 46806-1756
(260) 255-3665
Mailing address
201 E RUDISILL BLVD STE 100, FORT WAYNE, IN 46806-1756
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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