Individual
CASSIDY MIRANDA BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 HACKBERRY ST APT 4305, CLUTE, TX 77531-3962
(979) 267-9222
Mailing address
202 HACKBERRY ST APT 4305, CLUTE, TX 77531-3962
(979) 267-9222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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