Cassidy Berton

Individual provider Active NPI Day Training/Habilitation Specialist · Ash Flat, AR

NPI 1740685015 · NPPES record last updated Oct 29, 2014

Key facts

NPI
1740685015
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
34 Sharon Cir
Ash Flat, AR 72513-9409
Phone
(870) 994-3103
NPI assigned
Oct 29, 2014
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

34 Sharon Cir
Ash Flat, AR 72513-9409

Mailing address

34 Sharon Cir
Ash Flat, AR 72513-9409
Phone (870) 994-3103

Other providers in Ash Flat, AR

All providers in Ash Flat, AR · Day Training/Habilitation Specialist in Arkansas

Sources for this page

Verify at the official NPI Registry.