Cassidy Grove
Behavior Technician in La Crosse, WI. Individual provider (NPI-1).
NPI number1093620643
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1093620643
- Entity type
- Individual (NPI-1)
- Name
- Cassidy Grove
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2026
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
901 Caledonia StLa Crosse, WI 54603-2616
Phone 952-746-5350
Mailing address
14301 Ewing Ave SBurnsville, MN 55306-4885
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