Individual
CASSANDRA TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 S PATTERSON BLVD, DAYTON, OH 45402-2624
(937) 966-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
(513) 737-1107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187721
OH
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/04/2023
Last updated
03/22/2024
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