Individual
CAILEE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 N JOHNSTON ST STE 305, DALLAS, GA 30132-4741
(877) 498-0319
(859) 594-5344
Mailing address
3372 PEACHTREE RD NE UNIT 1706, ATLANTA, GA 30326-1895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-384824
GA
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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