Telecia L Willis
Behavior Technician in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1013420439
StatusActive
Last updated in NPPESNov 7, 2017
Details
- NPI
- 1013420439
- Entity type
- Individual (NPI-1)
- Name
- Telecia L Willis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2017
- Last updated
- Nov 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1176 Pelican Bay DrDaytona Beach, FL 32119-1381
Phone 386-767-3752 · Fax 386-767-4319
Mailing address
1176 Pelican Bay Dr BayDaytona Beach, FL 32119-1381
Phone 386-767-3752 · Fax 386-767-4319
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All 211 Behavior Technician providers in Daytona Beach · All 3,665 providers in Daytona Beach
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