Rachael Fuller Wallace

NPI #1013552017 in Newnan, Georgia

Provider Information

NPI Number: 1013552017
Entity Type: Individual
Name: Rachael Fuller Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2019
Last Updated: Nov 13, 2019

Practice Location

Address: 112 JEFFERSON PKWY
City: Newnan
State: Georgia
ZIP Code: 30263-5885
Phone: (877) 288-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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