Anthony Justin Wallace

Behavior Technician · Kent, WA

Individual Active NPI

NPI number 1417635335

Practice location

8725 S 212TH St Bldg E
Kent, WA 98031-1921
Phone
(425) 658-3017

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NPI record

NPI
1417635335
Entity type
Individual (Type 1)
Enumeration date
July 10, 2023
Last updated
July 10, 2023
Certified
July 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

8725 S 212TH St
Kent, WA 98031-1921

About Anthony Wallace

Anthony Justin Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 8725 S 212TH St Bldg E, Kent, WA 98031-1921. The NPI number 1417635335 was assigned on July 10, 2023 and the record was last updated on July 10, 2023.

Frequently asked questions

What is the NPI number of Anthony Justin Wallace?

The NPI number is 1417635335.

What is the phone number of Anthony Wallace?

The phone number listed for the practice location is (425) 658-3017.

Where is Anthony Wallace located?

8725 S 212TH St Bldg E, Kent, WA 98031-1921.

What is the taxonomy code for Anthony 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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