Makayla Tiara Wallace

NPI #1053033902 in Bethesda, Maryland

Provider Information

NPI Number: 1053033902
Entity Type: Individual
Name: Makayla Tiara Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 16, 2022
Last Updated: Sep 16, 2022

Practice Location

Address: 3 BETHESDA METRO CTR STE 700
City: Bethesda
State: Maryland
ZIP Code: 20814-6300
Phone: (240) 292-8319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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