KASSANDRA ALEXIS MICKELSON

STOCKTON, CA
NPI1265175962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-04-19
Last Update Date2022-04-19
Business Address
KASSANDRA ALEXIS MICKELSON
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207-8107
Phone number: 530-721-9074
Mailing Address
KASSANDRA ALEXIS MICKELSON
2837 MOULTON DR
PLACERVILLE, CA 95667-4333
Phone number: 530-721-9074