Conchita Wallace
Conchita Wallace is a Behavior Technician in Savannah, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
3 Johnston StSavannah, GA 31405-5502
Phone: (706) 842-5330
Fax: (706) 842-5340
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-331396 (GA) |
|---|
Record details
| NPI number | 1811754948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 5, 2024 |
| Last updated in NPPES | March 5, 2024 |
| Certification date | March 5, 2024 |
| Mailing address | Po Box 2567, Augusta, GA 30903-2567 |
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