Amy Wallace

NPI #1184597999 in Chantilly, Virginia

Provider Information

NPI Number
1184597999
Entity Type
Individual
Name
Amy Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 26, 2025
Last Updated
Sep 26, 2025

Practice Location

Address
4530 WALNEY RD STE 105
ZIP Code
20151-2285
Phone
(619) 818-1807

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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