Corey James Wallace, RBT
NPI #1598640971 in Chesterton, Indiana
Provider Information
- NPI Number
- 1598640971
- Entity Type
- Individual
- Name
- Corey James Wallace, RBT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- RBT
- Enumeration Date
- Aug 6, 2025
- Last Updated
- Aug 6, 2025
Practice Location
- Address
- 442 SAND CREEK DR STE 101
- City
- Chesterton
- State
- Indiana
- ZIP Code
- 46304-1596
- Phone
- (219) 359-3272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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