Individual
CHASTITY RENEE CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2211 S PARK AVE STE 4&5&7, ALEXANDRIA, IN 46001-8084
(765) 705-4138
Mailing address
6109 W PENROD RD, MUNCIE, IN 47304-4624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-211733
IN
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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