Provider Demographics
NPI:1073323986
Name:SANDIFER, FELICIA CASSANDRA
Entity type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:CASSANDRA
Last Name:SANDIFER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FELICIA
Other - Middle Name:CASSANDRA
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:407 SOFT WINDS VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-7642
Mailing Address - Country:US
Mailing Address - Phone:803-370-3478
Mailing Address - Fax:
Practice Address - Street 1:1547 CHERRY RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2616
Practice Address - Country:US
Practice Address - Phone:803-792-0771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician