Quinn C Wollenburg
Behavior Technician in Anderson, SC. Individual provider (NPI-1).
NPI number1164045951
StatusActive
Last updated in NPPESMay 27, 2020
Details
- NPI
- 1164045951
- Entity type
- Individual (NPI-1)
- Name
- Quinn C Wollenburg
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2020
- Certification date
- May 27, 2020
- Last updated
- May 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4323 Old Mill Rd Ste BAnderson, SC 29621-1117
Phone 864-671-1466 · Fax 615-577-5654
Mailing address
1321 Murfreesboro Pike Ste 702Nashville, TN 37217-2679
Phone 844-359-7629 · Fax 615-577-5654
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