Individual
CASSIDY REGINA MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BENT CREEK BLVD, MECHANICSBURG, PA 17050-1938
(888) 726-4474
(570) 362-5112
Mailing address
1081 OAK ST STE 3, PITTSTON, PA 18640-3716
(888) 726-4774
(570) 362-5112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-192215
PA
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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