Individual
CASSIE MARIE CROSSWHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 S 38TH ST, TACOMA, WA 98418
(360) 649-1028
Mailing address
3312 N ORCHARD ST., TACOMA, WA 98407
(360) 649-1028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
09/01/2016
Last updated
03/06/2017
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