Lexis L Wallace

NPI #1205598760 in Dunwoody, Georgia

Provider Information

NPI Number: 1205598760
Entity Type: Individual
Name: Lexis L Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 12, 2021
Last Updated: Dec 8, 2021

Practice Location

Address: 5488 CHAMBLEE DUNWOODY RD STE 7
City: Dunwoody
State: Georgia
ZIP Code: 30338-4161
Phone: (404) 480-3842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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