Brianna R Wallace

NPI #1053122168 in Ocoee, Florida

Provider Information

NPI Number: 1053122168
Entity Type: Individual
Name: Brianna R Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 17, 2025
Last Updated: Jan 17, 2025

Practice Location

Address: 2930 MAGUIRE RD
City: Ocoee
State: Florida
ZIP Code: 34761-4750
Phone: (407) 602-5010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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