Takiya Ireanna Willis

NPI #1013739911 in Columbus, Georgia

Provider Information

NPI Number: 1013739911
Entity Type: Individual
Name: Takiya Ireanna Willis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 30, 2024
Last Updated: Oct 30, 2024

Practice Location

Address: 3623 CALVIN DR
City: Columbus
State: Georgia
ZIP Code: 31904-7915
Phone: (706) 940-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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