Individual
MISS REAGAN MICHELLE CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., BCBA
Contact information
Practice address
83 PINE ST, SUITE 102, PEABODY, MA 01960-3646
(978) 717-5062
Mailing address
1 SOUTHWICK AVE, PEABODY, MA 01960-1224
(508) 527-6884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2010
Last updated
01/17/2017
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