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NPI Code Detail

MEDICARE: ANDRIA CASSELLO

MEDICARE: ANDRIA CASSELLO
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 : 1174133946
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRIA CASSELLO
Provider Business Mailing Address
First Line : 650 W GRAND AVE STE 207
Second Line :
City : ELMHURST
State : IL
Zip : 60126-1025
Country : US
Telephone Number : 844-263-1613
Fax Number :
Provider Business Practice Location Address
First Line : 881 PARKVIEW BLVD
Second Line :
City : LOMBARD
State : IL
Zip : 60148-3230
Country : US
Telephone Number : 844-263-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 08/05/2020

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Directions to “ ANDRIA CASSELLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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