Individual
CASSIDY BREYFOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NOLA RUTH BLVD, HARKER HEIGHTS, TX 76548-1549
(254) 449-1405
Mailing address
2505 SE LEE BLVD, LAWTON, OK 73501-6302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
12/20/2019
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