Individual
SUSANA SARA CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17119 RED FEATHER DR, CHARLOTTE, NC 28277-2991
(786) 398-1649
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52621
NC
Other
Enumeration date
06/26/2018
Last updated
11/29/2022
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