Williams-Sisk, Cassandra Renae

Williams-Sisk, Cassandra Renae is an sole proprietor health care provider with primary practice located at 5706 Hunters Chase Dr , Southaven MS 38672-6540. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Williams-Sisk, Cassandra Renae can be contacted via phone (662) 812-5833.

Contact Information

Primary practice address
5706 Hunters Chase Dr Southaven MS 38672-6540
Fax: (662) 349-0709
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 103K00000X Tennessee

Profile Details

NPI number 1336471291
LBN Legal business name Williams-Sisk, Cassandra Renae
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2010
Last updated Feb 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336471291 NPPES
Tennessee Other 103K00000X TAXONOMY

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