Individual
CAMERON SHANE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3190 NORTHEAST EXPY NE STE 110, ATLANTA, GA 30341-5323
(404) 487-6005
(678) 831-3005
Mailing address
105 CARTERDALE CT, BETHLEHEM, GA 30620-1726
(770) 402-6843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-430438
GA
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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