Walletta Tariese Bynum

NPI #1508530163 in Lithonia, Georgia

Provider Information

NPI Number: 1508530163
Entity Type: Individual
Name: Walletta Tariese Bynum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 5, 2021
Last Updated: Aug 5, 2021

Practice Location

Address: 5461 HILLANDALE DR
City: Lithonia
State: Georgia
ZIP Code: 30058-4841
Phone: (866) 610-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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