Individual
CASSADY COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 MILLBRANCH RD STE 40, HATTIESBURG, MS 39402-1673
(601) 255-5264
Mailing address
18 POPLAR DR, HATTIESBURG, MS 39402-9547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
190069
MS
106S00000X
Behavior Technician
RBT-17-37190
MS
Other
Enumeration date
08/17/2017
Last updated
02/13/2019
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