Moriah Jasmine Wallace

NPI #1881569655 in Parker, Colorado

Provider Information

NPI Number: 1881569655
Entity Type: Individual
Name: Moriah Jasmine Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2025
Last Updated: Oct 9, 2025

Practice Location

Address: 19585 HESS RD
City: Parker
State: Colorado
ZIP Code: 80134-3891
Phone: (720) 673-9132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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