Individual
SYDNEY JAMISON KASCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 JOHNSON DRIVE, MASONIC HOME, KY 40041
(503) 293-1695
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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