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NPI Code Detail

MEDICARE: CASSANDRA PROGAR

MEDICARE:   CASSANDRA  PROGAR
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1083060289
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA PROGAR
Provider Business Mailing Address
First Line : 138 W HIGHLAND RD STE 500-600
Second Line :
City : HOWELL
State : MI
Zip : 48843-2170
Country : US
Telephone Number : 517-376-4831
Fax Number :
Provider Business Practice Location Address
First Line : 138 W HIGHLAND RD STE 500-600
Second Line :
City : HOWELL
State : MI
Zip : 48843-2170
Country : US
Telephone Number : 517-376-4831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2016
Last Update Date : 10/26/2022

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Directions to “ CASSANDRA PROGAR ” Practice Location

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