Provider Demographics
NPI:1952876906
Name:ATTERBURY, KASSANDRA LYNN (BCBA)
Entity Type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:LYNN
Last Name:ATTERBURY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 VALLEY VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-2063
Mailing Address - Country:US
Mailing Address - Phone:951-907-2692
Mailing Address - Fax:
Practice Address - Street 1:861 N COLEMAN ST STE 135
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-2356
Practice Address - Country:US
Practice Address - Phone:855-782-7822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst