Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walletta Tariese Bynum

Individual provider Behavior Technician · NPI 1508530163

Walletta Tariese Bynum is a Behavior Technician in Lithonia, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5461 Hillandale Dr
Lithonia, GA 30058-4841
Phone: (866) 610-0580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1508530163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

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