Individual
CARRIE PASCALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 NEW MKT PKWY SE STE 130, MARIETTA, GA 30067-9309
(678) 486-1911
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-102489
GA
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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