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Cassey Jean Hartig

Behavior Technician in Corona, CA. Individual provider (NPI-1).

NPI number1124614847
StatusActive
Last updated in NPPESDec 16, 2020

Details

NPI
1124614847
Entity type
Individual (NPI-1)
Name
Cassey Jean Hartig
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 16, 2020
Certification date
Dec 16, 2020
Last updated
Dec 16, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

255 E Rincon St Ste 219
Corona, CA 92879-1387

Phone 951-817-5328

Mailing address

255 E Rincon St Ste 219
Corona, CA 92879-1387

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Corona, CA

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