Angenett Wallace, RBT
NPI #1881556561 in Richton Park, Illinois
Provider Information
- NPI Number
- 1881556561
- Entity Type
- Individual
- Name
- Angenett Wallace, RBT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- RBT
- Enumeration Date
- Dec 1, 2025
- Last Updated
- Dec 1, 2025
Practice Location
- Address
- 4559 HEARTLAND DR
- City
- Richton Park
- State
- Illinois
- ZIP Code
- 60471-2413
- Phone
- (708) 762-2907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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