Individual
JASON T CAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 SHILOH RD, KENNESAW, GA 30144
(866) 278-3194
(866) 278-3194
Mailing address
1445 WOODMONT LN NW # 1098, ATLANTA, GA 30318-2866
(866) 278-3194
(866) 278-3194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006387
GA
103K00000X
Behavior Analyst
1-12-12287
—
Other
Enumeration date
04/22/2009
Last updated
01/19/2024
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