Individual
HANNAH R WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(888) 225-9756
Mailing address
1449 S CHURCH ST APT 231, CHARLOTTE, NC 28203-4676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-166601
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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