Cassandra Dominique Phenix

NPI #1497537955 in West Plains, Missouri

Provider Information

NPI Number
1497537955
Entity Type
Individual
Name
Cassandra Dominique Phenix
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 19, 2023
Last Updated
Oct 19, 2023

Practice Location

Address
3411 DIVISION DR
ZIP Code
65775-5789
Phone
(417) 257-9152

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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