Most Relevant Information
Provider Data
| NPI Number: | 1003451394 |
| Provider Name: | CASAUNDRA WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 19-98984 |
Most Important Dates
| Enumeration Date: | 11/11/2019 |
| Last Updated: | 10/08/2020 |
Provider Practice Location
535 RIVERSTONE PKWY STE 100
CANTON
GA
301145328
Practice Location Phone/Fax
| Phone: | 4705310430 |
| Fax: | 4704082550 |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 7069804700 |
| Fax: |