Peter Yarkpazuo Wallace

NPI #1013623420 in Columbus, Ohio

Provider Information

NPI Number: 1013623420
Entity Type: Individual
Name: Peter Yarkpazuo Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 2438 KIMBERLY WOODS DR
City: Columbus
State: Ohio
ZIP Code: 43232-4290
Phone: (614) 844-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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