Individual
CASSANDRA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1981 POWERS FERRY RD SE APT D, MARIETTA, GA 30067-5277
(478) 737-4394
Mailing address
1981 POWERS FERRY RD SE APT D, MARIETTA, GA 30067-5277
(478) 737-4394
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-183466
GA
Other
Enumeration date
09/15/2021
Last updated
10/21/2021
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