Individual
CAMERON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 KING GEORGE BLVD, SAVANNAH, GA 31419-9547
(912) 785-9027
Mailing address
PO BOX 253, SKILLMAN, NJ 08558-0253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-278904
GA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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