Alicia Wallace, BCBA

NPI #1841690625 in Atascadero, California

Provider Information

NPI Number: 1841690625
Entity Type: Individual
Name: Alicia Wallace, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Aug 28, 2014
Last Updated: Feb 5, 2020

Practice Location

Address: 8005B TORO CREEK RD
City: Atascadero
State: California
ZIP Code: 93422-1028
Phone: (805) 704-7586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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