| NPI | 1114201159 |
|---|---|
| Former Name | CRYSTAL AMY CASCARINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000276) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8012) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2015-04-08 |