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Individual

KASSIDY CHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1680 W SHAW AVE STE 100, FRESNO, CA 93711-3504
(209) 465-1080
Mailing address
1680 W SHAW AVE STE 100, FRESNO, CA 93711-3504
(209) 465-1080

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
11/28/2025
Last updated
11/28/2025
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