Individual
CASSIDY R MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6320 CANOGA AVE STE 101, WOODLAND HILLS, CA 91367-2560
(818) 600-8758
Mailing address
6320 CANOGA AVE STE 101, WOODLAND HILLS, CA 91367-2560
(818) 600-8758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
CA
Enumeration date
09/06/2023
Last updated
09/06/2023
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