Jennifer Marie Wallace

NPI #1982416889 in Waco, Texas

Provider Information

NPI Number: 1982416889
Entity Type: Individual
Name: Jennifer Marie Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 27, 2025
Last Updated: Jan 27, 2025

Practice Location

Address: 6824 LOGUE LN
City: Waco
State: Texas
ZIP Code: 76708-7241
Phone: (254) 327-2001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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