Individual
CASSIE NICOLE LEE WHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 PEACHTREE ST NW, ATLANTA, GA 30303-1202
(855) 832-6727
Mailing address
260 PEACHTREE ST NW, ATLANTA, GA 30303-1202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-306309
GA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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