Kassie Kay Frost

Individual provider Active NPI Behavior Analyst · Blanchard, MI

NPI 1982179461 · NPPES record last updated Oct 10, 2018

Key facts

NPI
1982179461
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
4540 Monroe Rd
Blanchard, MI 49310-9483
Phone
(989) 944-0527
NPI assigned
Oct 10, 2018
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 Analyst 103K00000X Yes

Addresses

Primary practice location

4540 Monroe Rd
Blanchard, MI 49310-9483

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Blanchard, MI

All providers in Blanchard, MI · Behavior Analyst in Michigan

Sources for this page

Verify at the official NPI Registry.