NPI 1003304429

Mallary M Kassel, RBT

Practitioner Behavior Technician Bloomington, IN

Practice location

Address: 3101 N Canterbury CT, Bloomington, IN 47404-1500
Phone: (812) 650-3032
Fax: (317) 663-1175
Mailing address: 12650 Hamilton Crossing Blvd, Carmel, IN 46032-5400

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003304429
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2018
Record last updated: 1 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.