Heather M Genzale

NPI #1760247936 in Pooler, Georgia

Provider Information

NPI Number: 1760247936
Entity Type: Individual
Name: Heather M Genzale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 16, 2024
Last Updated: Feb 16, 2024

Practice Location

Address: 10 COMMERCE CT POOLER
City: Pooler
State: Georgia
ZIP Code: 31322
Phone: (615) 560-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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