Kenosha Archie-Wallace
Kenosha Archie-Wallace is a Behavior Technician in Statesboro, Georgia. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
2760 Northside Dr WStatesboro, GA 30458-2159
Phone: (912) 208-2024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1629902192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 10, 2026 |
| Last updated in NPPES | June 10, 2026 |
| Certification date | June 10, 2026 |
| Mailing address | 2805 S Industrial Hwy Ste 100, Ann Arbor, MI 48104-6791 |
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Cody Barber
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Catherine Benefield
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186 Robbins Rd, Statesboro, GA 30458-3633 · (912) 512-5184