Genela Gissel Vallejo De Peter

NPI #1124525274 in Tyrone, Georgia

Provider Information

NPI Number
1124525274
Entity Type
Individual
Name
Genela Gissel Vallejo De Peter
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Apr 6, 2018
Last Updated
Apr 6, 2018

Practice Location

Address
140 ROSCOMMON CT
City
Tyrone
State
Georgia
ZIP Code
30290-1879
Phone
(470) 776-4223

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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