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Individual

CASSIDY RENEE BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6093B JESSEN CT, ABERDEEN PROVING GROUND, MD 21005-1937
(443) 787-5345
(443) 787-5345
Mailing address
6093B JESSEN CT, ABERDEEN PROVING GROUND, MD 21005-1937
(443) 787-5345
(443) 787-5345

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-427702
MD

Other

Enumeration date
04/18/2025
Last updated
04/18/2025
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