Individual
HADASSAH REBEKAH WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 COLLINS RD NW STE 500, KENNESAW, GA 30152-8237
(188) 509-6368
Mailing address
100 PHOENIX LN NW APT O, KENNESAW, GA 30144-7580
(412) 313-3673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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