Nicole Wallace
NPI #1477238749 in Boston, Massachusetts
Provider Information
- NPI Number
- 1477238749
- Entity Type
- Individual
- Name
- Nicole Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 15, 2023
- Last Updated
- Jun 15, 2023
Practice Location
- Address
- 800 BOYLSTON ST FL 16
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02199-1900
- Phone
- (617) 812-9454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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