Individual
CEDRIC COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 IVEY RD NW STE 1626, ACWORTH, GA 30101-4001
(470) 531-0510
(470) 531-0510
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-425485
GA
Other
Enumeration date
04/14/2025
Last updated
07/21/2025
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