Provider Demographics
NPI:1386014496
Name:CHIZY, CASSANDRA JANE (LABA, BCBA)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JANE
Last Name:CHIZY
Suffix:
Gender:F
Credentials:LABA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MARTIN RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-2319
Mailing Address - Country:US
Mailing Address - Phone:774-364-1975
Mailing Address - Fax:
Practice Address - Street 1:387 MAIN ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-1780
Practice Address - Country:US
Practice Address - Phone:508-987-4211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst