Provider Demographics
NPI:1801492947
Name:RINGER, CASSIDY A (MS BCBA)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:A
Last Name:RINGER
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 OLD SPARTANBURG RD APT 207
Mailing Address - Street 2:
Mailing Address - City:TAYLORS
Mailing Address - State:SC
Mailing Address - Zip Code:29687-4141
Mailing Address - Country:US
Mailing Address - Phone:843-858-1449
Mailing Address - Fax:
Practice Address - Street 1:17B CALDEDON CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-631-2084
Practice Address - Fax:615-815-1946
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1-24-72933103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician