Cassidy Rae Forrest

NPI #1447753454 in Imlay City, Michigan

Provider Information

NPI Number: 1447753454
Entity Type: Individual
Name: Cassidy Rae Forrest
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 15, 2018
Last Updated: Mar 15, 2018

Practice Location

Address: 330 W 5TH ST
City: Imlay City
State: Michigan
ZIP Code: 48444-1039
Phone: (810) 614-0344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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