Individual
HANNAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
120 HANDLEY RD STE 410, TYRONE, GA 30290-2174
(770) 269-4660
Mailing address
120 HANDLEY RD STE 410, TYRONE, GA 30290-2174
(770) 629-4660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-343056
GA
Other
Enumeration date
05/01/2024
Last updated
01/28/2025
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