TAKIA WALLACE

AUGUSTA, GA
NPI1780342089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-21-195151)
Enumeration Date2021-12-03
Last Update Date2021-12-03
Business Address
TAKIA WALLACE
101 ROSSMORE PL
AUGUSTA, GA 30909-5771
Phone number: 706-842-5330
Mailing Address
TAKIA WALLACE
3736 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-2360
Phone number: 706-842-5330
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