Individual
CASSANDRA MICHELLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(315) 559-3823
Mailing address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P103030
NY
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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