Individual
CALEY CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PLAZA WAY NW STE A, MARIETTA, GA 30060-1141
(678) 691-2206
Mailing address
50 PLAZA WAY NW STE A, MARIETTA, GA 30060-1141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-113417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-113417
RBT
GA
Enumeration date
03/11/2020
Last updated
03/11/2020
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