Individual
CAMERON CUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 WHITTLESEY RD STE 400, COLUMBUS, GA 31904-9211
(706) 221-9629
Mailing address
1921 WHITTLESEY RD STE 400, COLUMBUS, GA 31904-9211
(706) 221-9629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-104878
GA
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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