Tyler Wallace
NPI #1821554759 in Gainesville, Florida
Provider Information
- NPI Number
- 1821554759
- Entity Type
- Individual
- Name
- Tyler Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 15, 2019
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- 2035 SW 75TH ST STE B
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32607-3425
- Phone
- (352) 332-8588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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