Healthcare Provider Details

I. General information

NPI: 1053086504
Provider Name (Legal Business Name): CASSANDRA JOYCE MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 W MONTGOMERY XRD STE 102
SAVANNAH GA
31406-4321
US

IV. Provider business mailing address

1114 MOHAWK ST UNIT G3
SAVANNAH GA
31419-1647
US

V. Phone/Fax

Practice location:
  • Phone: 912-421-5353
  • Fax:
Mailing address:
  • Phone: 912-322-9371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA003239
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: