Cassidee Jean Rentsch

Individual provider Active NPI Behavior Technician · Westchase, FL

NPI 1568068161 · NPPES record last updated Dec 8, 2020

Key facts

NPI
1568068161
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314
Phone
(866) 610-0580
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Yes

Addresses

Primary practice location

12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580

Other providers in Westchase, FL

All providers in Westchase, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.