MR. Jason D Wallace, BCBA

NPI #1679713754 in Oldsmar, Florida

Provider Information

NPI Number
1679713754
Entity Type
Individual
Name
MR. Jason D Wallace, BCBA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Analyst
Credential
BCBA
Enumeration Date
Mar 2, 2009
Last Updated
Mar 2, 2009

Practice Location

Address
104 SHOREVIEW LN
State
Florida
ZIP Code
34677-4106
Phone
(813) 546-9867

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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