Individual
ANDREA CACACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 CHASTAIN MEADOWS PKWY NW, KENNESAW, GA 30144-5881
(678) 888-2932
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-55125
GA
Other
Enumeration date
11/29/2019
Last updated
08/03/2022
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