Victoria Diane Wallin

NPI #1871344721 in Georgetown, Texas

Provider Information

NPI Number: 1871344721
Entity Type: Individual
Name: Victoria Diane Wallin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 28, 2024
Last Updated: Mar 28, 2024

Practice Location

Address: 179 S HOLLY ST
City: Georgetown
State: Texas
ZIP Code: 78626-5114
Phone: (512) 269-5641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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