Angelo, Cassandra

Angelo, Cassandra is an individual health care provider with primary practice located at 600 N Jackson St Ste 203 , Media PA 19063-2574. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Angelo, Cassandra can be contacted via phone (484) 444-2285.

Contact Information

Primary practice address
600 N Jackson St Ste 203 Media PA 19063-2574
Phone: (484) 444-2285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1407314065
LBN Legal business name Angelo, Cassandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2019
Last updated Mar 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407314065 NPPES
Other RBT-18-59612 BACB REGISTRATION NUMBER

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