NPI 1275023624
Casey Cavanaugh
Practice location
- Address
- 1297 Professional Dr STE 101b, Myrtle Beach, SC 29577-5713
- Phone
- (910) 390-6635
- Fax
- (888) 510-1019
- Mailing address
- 3020i Prosperity Church Rd # 247, Charlotte, NC 28269-8112
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1275023624
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 May 2018
- Record last updated
- 20 May 2022
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.