Individual
CANDACE STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 WILLIAMS RD, COLUMBUS, GA 31909-1101
(888) 963-2228
Mailing address
13 AVERY PL, FORT MITCHELL, AL 36856-5161
(334) 650-5673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-450800
AL
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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