Cassidi Gail Redmond
Behavior Technician in Kyle, TX. Individual provider (NPI-1).
NPI number1104698158
StatusActive
Last updated in NPPESOct 24, 2023
Details
- NPI
- 1104698158
- Entity type
- Individual (NPI-1)
- Name
- Cassidi Gail Redmond
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2023
- Certification date
- Oct 24, 2023
- Last updated
- Oct 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
115 Kohler'S CrossingUnit 240
Kyle, TX 78640
Phone 737-843-2058
Mailing address
5850 Granite Pkwy Ste 600Plano, TX 75024-6753
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