Individual
CASSANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
881 PARKVIEW BLVD, LOMBARD, IL 60148-3230
(844) 263-1613
Mailing address
650 W GRAND AVE STE 207, ELMHURST, IL 60126-1025
(844) 263-1613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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