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NPI Code Detail

MEDICARE: MRS. CASSANDRA R HAYWOOD

MEDICARE:  MRS. CASSANDRA R HAYWOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1295683936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CASSANDRA R HAYWOOD
Provider Business Mailing Address
First Line : 3460 BRAES MEADOW DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-8057
Country : US
Telephone Number : 682-540-8734
Fax Number :
Provider Business Practice Location Address
First Line : 3460 BRAES MEADOW DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-8057
Country : US
Telephone Number : 682-540-8734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ MRS. CASSANDRA R HAYWOOD ” Practice Location

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