Individual
CASSANDRA FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 149TH ST FL 211357, WHITESTONE, NY 11357-2529
(516) 217-6949
Mailing address
3621 MARION LN, LAS CRUCES, NM 88012-7579
(575) 520-6074
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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