Mallary M Kassel
Behavior Technician
3101 N Canterbury Ct
Bloomington
, Indiana 47404-1500
Mallary M Kassel
Behavior Technician
3101 N Canterbury Ct
Bloomington
, Indiana 47404-1500
(317) 663-1175
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Mallary M Kassel
- 12650 Hamilton Crossing Blvd
- Carmel, IN
- Zip : 46032-5400
- Fax : (317) 663-1175
- Phone : (317) 249-2242
Second Address
- Mallary M Kassel
- 3101 N Canterbury Ct
- Bloomington, IN
- Zip : 47404-1500
- Fax : (317) 663-1175
- Phone : (812) 650-3032
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003304429 |
|---|---|
| Provider Name | Mallary M Kassel |
| First Address | Carmel, IN 46032-5400 |
| Second Address | Bloomington, IN 47404-1500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.