Theresa Wallace, MSED
NPI #1497096333 in Whitestone, New York
Provider Information
- NPI Number
- 1497096333
- Entity Type
- Individual
- Name
- Theresa Wallace, MSED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- MSED
- Enumeration Date
- Mar 1, 2013
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 147-26 18TH AVE
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-3108
- Phone
- (917) 613-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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