Individual
MRS. CASSANDRA RENAE WILLIAMS-SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5706 HUNTERS CHASE DR, SOUTHAVEN, MS 38672-6540
(662) 812-5833
(662) 349-0709
Mailing address
5706 HUNTERS CHASE DR, SOUTHAVEN, MS 38672-6540
(662) 812-5833
(662) 349-0709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
TAXONOMY
TN
Enumeration date
02/03/2010
Last updated
02/03/2010
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