Ivyonna Janiece Willis

NPI #1679328959 in Lithonia, Georgia

Provider Information

NPI Number: 1679328959
Entity Type: Individual
Name: Ivyonna Janiece Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 20, 2024
Last Updated: Apr 20, 2024

Practice Location

Address: 1247 OLD GREYSTONE CT
City: Lithonia
State: Georgia
ZIP Code: 30058-2951
Phone: (470) 487-6477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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