Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 198305983 | CT |
NPI | 1003285495 |
---|---|
Provider Name | Mrs. Meghan Cavanaugh Cressotti |
First Address | Silverdale, WA 98315-9779 |
Second Address | Oak Harbor, WA 98277-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2015 |
Last Update Date | 24/09/2015 |