Individual
ASHLEY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 INDIA HOOK RD STE 105, ROCK HILL, SC 29732-3531
(803) 366-6250
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-325841
NC
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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