Wayne Dale Reid III
Behavior Technician in Lilburn, GA. Individual provider (NPI-1).
NPI number1164219945
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1164219945
- Entity type
- Individual (NPI-1)
- Name
- Wayne Dale Reid III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2025
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
651 Exchange Pl NwLilburn, GA 30047-3747
Phone 404-433-9512
Mailing address
2213 Northwoods Lake CtDuluth, GA 30096-8031
Phone 404-433-9512
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All 98 Behavior Technician providers in Lilburn · All 990 providers in Lilburn
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