Rachael Denise Waller, BCBA

NPI #1235554437 in Roy, Utah

Provider Information

NPI Number: 1235554437
Entity Type: Individual
Name: Rachael Denise Waller, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Feb 25, 2014
Last Updated: Mar 6, 2014

Practice Location

Address: 3794 W 5675 S
City: Roy
State: Utah
ZIP Code: 84067-8151
Phone: (801) 985-6065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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