Individual
COURTNEY CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
(617) 524-3116
Mailing address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
(617) 524-3116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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