Cassandra Short
Behavior Technician in Decatur, GA. Individual provider (NPI-1).
NPI number1548052004
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1548052004
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Short
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2025
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-438001 | GA | Yes |
Practice location
919 Regency Path DrDecatur, GA 30030-4168
Phone 720-333-6592
Mailing address
919 Regency Path DrDecatur, GA 30030-4168
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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