Healthcare Provider Details

I. General information

NPI: 1518258763
Provider Name (Legal Business Name): CASSIE TURNER MA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4928 E CLINTON WAY
FRESNO CA
93727-1526
US

IV. Provider business mailing address

19019 VENTURA BLVD
TARZANA CA
91356-3253
US

V. Phone/Fax

Practice location:
  • Phone: 559-255-5900
  • Fax: 559-255-3900
Mailing address:
  • Phone: 818-345-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1073883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: