Kassidee Alyssa Root

NPI #1245061647 in Three Rivers, Michigan

Provider Information

NPI Number: 1245061647
Entity Type: Individual
Name: Kassidee Alyssa Root
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 8, 2024
Last Updated: Aug 8, 2024

Practice Location

Address: 306 S LINCOLN AVE
City: Three Rivers
State: Michigan
ZIP Code: 49093-2022
Phone: (269) 535-9183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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