Individual
CASSIDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 CENTRE POINTE DRIVE SUITE 7, MENDOTA HEIGHTS, MN 55120
(952) 401-9359
(949) 564-6112
Mailing address
4335 BLAISDELL AVE, MINNEAPOLIS, MN 55409-2012
(262) 224-9771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
07/07/2026
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