Brenda Lanette Wallace

NPI #1053111971 in Parker, Colorado

Provider Information

NPI Number: 1053111971
Entity Type: Individual
Name: Brenda Lanette Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 18, 2025
Last Updated: Mar 18, 2025

Practice Location

Address: 19585 HESS RD UNIT 106
City: Parker
State: Colorado
ZIP Code: 80134-3892
Phone: (720) 673-9132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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