Individual
TINA L CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 WESTHAVEN DR, NEWTON, KS 67114-1431
(316) 217-2562
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(316) 217-2562
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
01/16/2024
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