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NPI Code Detail

MEDICARE: MRS. CASSIDY RENEE CADA MA

MEDICARE: MRS. CASSIDY RENEE CADA MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164913521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CASSIDY RENEE CADA MA
Provider Business Mailing Address
First Line : 910 E 2ND ST
Second Line :
City : WINONA
State : MN
Zip : 55987-4649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 223 CENTER ST
Second Line :
City : WINONA
State : MN
Zip : 55987-3595
Country : US
Telephone Number : 952-746-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 03/26/2025

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