Individual
CASSANDRA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 ENON MILL DR SW, ATLANTA, GA 30331-8743
(773) 941-1748
Mailing address
1970 ENON MILL DR SW, ATLANTA, GA 30331-8743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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