Individual provider · NPI-1

Casandra Farrell

Behavior Analyst · Waldorf, MD

NPI number1710448386
StatusActive
Last updated in NPPESFeb 24, 2023

Details

NPI
1710448386
Entity type
Individual (NPI-1)
Name
Casandra Farrell
Sex
Female
Sole proprietor
No
Enumeration date
Mar 27, 2019
Certification date
Feb 24, 2023
Last updated
Feb 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

2670 Crain Hwy
Waldorf, MD 20601-2806

Phone 301-373-3065

Mailing address

401 Main St Ste 15
Amherst, MA 01002-2353

Phone 413-461-7120

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