NPI 1396595807

Sydney Jamison Kascak

Practitioner Assistant Behavior Analyst Masonic Home, KY

Practice location

Address: 3761 Johnson Drive, Masonic Home, KY 40041
Phone: (503) 293-1695
Mailing address: 90 Howard Dr, Shelbyville, KY 40065-8138

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1396595807
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2024
Record last updated: 26 Mar 2024

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.