Individual
KASSIDY ALEXYS MCSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(484) 965-9966
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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