Provider Demographics
NPI:1508179664
Name:SADOWSKY, CASSANDRA PAIGE (MS , BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:PAIGE
Last Name:SADOWSKY
Suffix:
Gender:F
Credentials:MS , BCBA
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:PAIGE
Other - Last Name:GULDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:81 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-1048
Mailing Address - Country:US
Mailing Address - Phone:619-456-1814
Mailing Address - Fax:540-737-5315
Practice Address - Street 1:81 LONGWOOD DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-1048
Practice Address - Country:US
Practice Address - Phone:619-456-1814
Practice Address - Fax:540-737-5315
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-10-6981103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst