TIARA WICKS

TUCKER, GA
NPI1750092813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-22-248184)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
TIARA WICKS
5072 LAVISTA RD
TUCKER, GA 30084-3500
Phone number: 706-842-5330
Mailing Address
TIARA WICKS
PO BOX 2567
AUGUSTA, GA 30903-2567
Phone number: 706-842-5330