Individual
AINOA CAZALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 GRAYSON PL, DECATUR, GA 30030-6410
(305) 922-0422
Mailing address
1201 GRAYSON PL, DECATUR, GA 30030-6410
(305) 922-0422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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