MISS Dacia Lanora Wallace

NPI #1306188990 in Tulsa, Oklahoma

Provider Information

NPI Number: 1306188990
Entity Type: Individual
Name: MISS Dacia Lanora Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 21, 2013
Last Updated: Mar 21, 2013

Practice Location

Address: 102 N DENVER AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74103-1806
Phone: (918) 582-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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