Brooke Wallace

NPI #1093199200 in Lakewood, Colorado

Provider Information

NPI Number
1093199200
Entity Type
Individual
Name
Brooke Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Analyst
Enumeration Date
Jul 17, 2015
Last Updated
Jul 17, 2015

Practice Location

Address
13015 W 2ND PL APT 212
ZIP Code
80228-1317
Phone
(720) 272-1289

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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