Individual
CASSANDRA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2055 CRAIGSHIRE RD STE 407, SAINT LOUIS, MO 63146-4012
(314) 275-0506
Mailing address
2055 CRAIGSHIRE RD STE 407, SAINT LOUIS, MO 63146-4012
(314) 275-0506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-54239
BACB
—
01
—
15441260
CAQH
—
Enumeration date
11/19/2021
Last updated
11/19/2021
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