Individual
CASAUNDRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 RIVERSTONE PKWY STE 100, CANTON, GA 30114-5328
(470) 531-0430
(470) 408-2550
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(706) 980-4700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-98984
GA
Other
Enumeration date
11/11/2019
Last updated
10/08/2020
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