Riley Brooke Wallrath

NPI #1700604907 in Maxwell, Texas

Provider Information

NPI Number: 1700604907
Entity Type: Individual
Name: Riley Brooke Wallrath
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 27, 2024
Last Updated: Sep 27, 2024

Practice Location

Address: 1525 SOAPSTONE PASS
City: Maxwell
State: Texas
ZIP Code: 78656-2029
Phone: (903) 390-2283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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