Individual
CHARLES CHRISTIAN CASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
7770 OAK GROVE CIR, LAKE WORTH, FL 33467-7120
(561) 642-9917
(561) 642-9917
Mailing address
PO BOX 230, GRANT, FL 32949-0230
(321) 676-6122
(321) 676-6382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0752
FL
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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