Wendi Bouma

NPI #1013755677 in Lagrange, Georgia

Provider Information

NPI Number: 1013755677
Entity Type: Individual
Name: Wendi Bouma
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 536 LOWER BIG SPRINGS RD
City: Lagrange
State: Georgia
ZIP Code: 30241-8748
Phone: (706) 594-0172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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