Adrienne Wallace

Behavior Technician · Stockton, CA

Individual Active NPI

NPI number 1235975848

Practice location

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone
(888) 880-9270

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NPI record

NPI
1235975848
Entity type
Individual (Type 1)
Enumeration date
July 2, 2024
Last updated
July 2, 2024
Certified
July 2, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — CA

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone
(877) 418-2978

About Adrienne Wallace

Adrienne Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107. The NPI number 1235975848 was assigned on July 2, 2024 and the record was last updated on July 2, 2024.

Frequently asked questions

What is the NPI number of Adrienne Wallace?

The NPI number is 1235975848.

What is the phone number of Adrienne Wallace?

The phone number listed for the practice location is (888) 880-9270.

Where is Adrienne Wallace located?

1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107.

What is the taxonomy code for Adrienne Wallace?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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