Kurtasha D Waller

NPI #1609580166 in Collinsville, Virginia

Provider Information

NPI Number: 1609580166
Entity Type: Individual
Name: Kurtasha D Waller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 10, 2023
Last Updated: Jan 24, 2023

Practice Location

Address: 51 SHUMATE DR
City: Collinsville
State: Virginia
ZIP Code: 24078-1652
Phone: (276) 806-9615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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