Wallace, Alex Nicole Wylie

Wallace, Alex Nicole Wylie is an individual health care provider with primary practice located at 6151 Dove Field Ct , Norcross GA 30092-1309. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wallace, Alex Nicole Wylie can be contacted via phone (770) 609-8777.

Contact Information

Primary practice address
6151 Dove Field Ct Norcross GA 30092-1309
Phone: (770) 609-8777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1669046223
LBN Legal business name Wallace, Alex Nicole Wylie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2021
Last updated May 18th, 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.

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