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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912579251 | NPPES |
| Georgia | Other | RBT-21-158620 | RBT |
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