Telecia L Willis
NPI #1013420439 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1013420439
- Entity Type
- Individual
- Name
- Telecia L Willis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 7, 2017
- Last Updated
- Nov 7, 2017
Practice Location
- Address
- 1176 PELICAN BAY DR
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32119-1381
- Phone
- (386) 767-3752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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