Allyshia Wallace

NPI #1265195804 in Lindale, Texas

Provider Information

NPI Number: 1265195804
Entity Type: Individual
Name: Allyshia Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 20, 2021
Last Updated: Oct 20, 2021

Practice Location

Address: 14623 FM 849
City: Lindale
State: Texas
ZIP Code: 75771-2440
Phone: (430) 235-2089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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