Cassidy J Loften, RBT

Individual provider Active NPI Assistant Behavior Analyst · Winfield, WV

NPI 1346717154 · NPPES record last updated Oct 30, 2018

Key facts

NPI
1346717154
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
License
RBT-18-60537 (WV)
Practice address
2631 State Route 34
Winfield, WV 25213-7797
Phone
(681) 235-3114
Fax
(866) 332-2962
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-18-60537WVMDAssistant Behavior Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X RBT-18-60537 WV Yes

Addresses

Primary practice location

2631 State Route 34
Winfield, WV 25213-7797

Mailing address

PO Box 4100
Barboursville, WV 25504-4100
Phone (304) 955-6200

Other providers in Winfield, WV

All providers in Winfield, WV · Assistant Behavior Analyst in West Virginia

Sources for this page

Verify at the official NPI Registry.