Thamir Huaytalla

NPI #1295624971 in Lilburn, Georgia

Provider Information

NPI Number: 1295624971
Entity Type: Individual
Name: Thamir Huaytalla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 30, 2025
Last Updated: Jun 30, 2025

Practice Location

Address: 3993 LAWRENCEVILLE HWY NW STE 110
City: Lilburn
State: Georgia
ZIP Code: 30047-2831
Phone: (678) 683-4402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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