Individual
WAYNE LARSON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
589 SIMONTON OAK LN, LAWRENCEVILLE, GA 30045-3525
(678) 431-9390
(678) 431-9390
Mailing address
589 SIMONTON OAK LN, LAWRENCEVILLE, GA 30045-3525
(678) 431-9390
(678) 431-9390
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82267
GA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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