Elizabeth Marie Wallace
NPI #1366204257 in Battle Ground, Washington
Provider Information
- NPI Number
- 1366204257
- Entity Type
- Individual
- Name
- Elizabeth Marie Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 25, 2024
- Last Updated
- Jan 25, 2024
Practice Location
- Address
- 20015 NE LAKIN RD
- City
- Battle Ground
- State
- Washington
- ZIP Code
- 98604-9609
- Phone
- (360) 896-3893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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