Wade, Tessia

Wade, Tessia is an individual health care provider with primary practice located at 382 Racetrack Rd , Mcdonough GA 30252-1022. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wade, Tessia can be contacted via phone (678) 691-2206.

Contact Information

Primary practice address
382 Racetrack Rd Mcdonough GA 30252-1022
Phone: (678) 691-2206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-158620 Georgia

Profile Details

NPI number 1912579251
LBN Legal business name Wade, Tessia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Jul 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912579251 NPPES
Georgia Other RBT-21-158620 RBT

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