TYJAIH WALLACE

FAYETTEVILLE, GA
NPI1023721610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
TYJAIH WALLACE
126 PAVILION PKWY
FAYETTEVILLE, GA 30214-4056
Phone number: 770-954-8988
Mailing Address
TYJAIH WALLACE
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885