Individual
CASSIDY RENE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 LONG BEACH BLVD STE 100, LONG BEACH, CA 90807-3340
(866) 523-4268
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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