Cassandra Rose
Behavior Technician in Atlanta, GA. Individual provider (NPI-1).
NPI number1730867201
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1730867201
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Rose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2023
- Certification date
- Jul 6, 2023
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1970 Enon Mill Dr SwAtlanta, GA 30331-8743
Phone 773-941-1748
Mailing address
1970 Enon Mill Dr SwAtlanta, GA 30331-8743
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