Kassandra Bourgault

NPI #1780491605 in Southbridge, Massachusetts

Provider Information

NPI Number: 1780491605
Entity Type: Individual
Name: Kassandra Bourgault
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 13, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 484 WORCESTER ST
City: Southbridge
State: Massachusetts
ZIP Code: 01550-1409
Phone: (774) 318-1806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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