Individual
ALLISSA YVONNE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 TRADE CENTER DR STE G, EVANS, GA 30809-6167
(718) 215-5311
(718) 865-5165
Mailing address
PO BOX 360595, PITTSBURGH, PA 15251-6595
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1383556
GA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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