Individual
CEDRICK AMBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2387 HUNTCREST WAY, LAWRENCEVILLE, GA 30043-8126
(678) 648-7644
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-364776
GA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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