Individual
CASSIDY KUEN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4831 MERLOT AVE UNIT 320, GRAPEVINE, TX 76051-7384
(817) 945-4505
Mailing address
2909 PANTHER DR APT 2724, FORT WORTH, TX 76116-0639
(714) 747-4176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7562
TX
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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