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Kasandra Ballard

Assistant Behavior Analyst in Lawton, OK. Individual provider (NPI-1).

NPI number1891280418
StatusActive
Last updated in NPPESJun 26, 2018

Details

NPI
1891280418
Entity type
Individual (NPI-1)
Name
Kasandra Ballard
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2018
Last updated
Jun 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106E00000X Assistant Behavior Analyst––Yes

Practice location

2912 Ne Lakeview Cir
Lawton, OK 73507-7131

Phone 580-583-4227

Mailing address

2912 Ne Lakeview Cir
Lawton, OK 73507-7131

Phone 580-583-4227

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