Individual
TATTIANA BAILEY-WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 CANNON VIEW LN APT 4, JUNCTION CITY, KS 66441-4866
(929) 336-8742
Mailing address
1012 CANNON VIEW LN APT 4, JUNCTION CITY, KS 66441-4866
(929) 336-8742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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