| NPI | 1154933752 |
|---|---|
| Former Name | KASSANDRA VICENEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-65043) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2026-08-31 |