Individual
CACIQUE CARDE' AMBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-A
Contact information
Practice address
6116 REIGER AVE, DALLAS, TX 75214-4599
(972) 502-8964
Mailing address
111 MORGAN AVE APT 3003, DALLAS, TX 75203-1043
(504) 206-0340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
LA
174400000X
Specialist
Primary
—
—
2355S0801X
Speech-Language Assistant
42350
TX
Other
Enumeration date
07/18/2019
Last updated
08/31/2023
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