Most Relevant Information
Provider Data
| NPI Number: | 1003452897 |
| Provider Name: | JOENICEIA WORDLAW |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/27/2019 |
| Last Updated: | 11/27/2019 |
Provider Practice Location
938 ELMA G MILES PKWY
HINESVILLE
GA
313134515
Practice Location Phone/Fax
| Phone: | 9122944055 |
| Fax: |
Provider Mailing Location
938 ELMA G MILES PKWY
HINESVILLE
GA
313134515
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |