Chanda Wallace

NPI #1649930975 in Burlington, Massachusetts

Provider Information

NPI Number: 1649930975
Entity Type: Individual
Name: Chanda Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 28, 2021
Last Updated: Dec 28, 2021

Practice Location

Address: 6 LINCOLN KNOLL LN STE 104
City: Burlington
State: Massachusetts
ZIP Code: 01803-4729
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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