Individual
KASSADI EHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MAGNOLIA CT, MOORE, OK 73160-1397
(479) 318-2300
Mailing address
4817 LIMESTONE DR, OKLAHOMA CITY, OK 73179-4823
(479) 318-2300
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-16969
OK
106S00000X
Behavior Technician
23-287422
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/03/2023
Last updated
04/09/2026
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