Individual
COLBY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E GORDON ST, VALDOSTA, GA 31601-4552
(850) 521-0242
(850) 521-1973
Mailing address
PO BOX 10827, TALLAHASSEE, FL 32302-2827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/06/2024
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