Individual
MRS. CASSIDY NOELLE RACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
22 PATTON RD, NEWBURGH, NY 12550-2530
(845) 527-0894
Mailing address
2011 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-2469
(901) 351-9427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41835
—
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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