Rosemarie Wallace

NPI #1790634442 in Ely, Nevada

Provider Information

NPI Number: 1790634442
Entity Type: Individual
Name: Rosemarie Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 26, 2026
Last Updated: Jan 26, 2026

Practice Location

Address: 1030 AVENUE M SPC 1
City: Ely
State: Nevada
ZIP Code: 89301-3707
Phone: (775) 235-3258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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