Individual
CASSIDY BEATHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3101 N CANTERBURY CT, BLOOMINGTON, IN 47404-1500
(812) 650-3032
(812) 650-3032
Mailing address
550 CONGRESSIONAL BLVD STE 115, CARMEL, IN 46032-5644
(765) 269-7756
(765) 269-7756
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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