Devesdra Wallace
NPI #1013516053 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1013516053
- Entity Type
- Individual
- Name
- Devesdra Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 21, 2020
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 1401 E 7TH ST
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28204-6300
- Phone
- (704) 780-4271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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