Anthony Justin Wallace
Anthony Justin Wallace is a Behavior Technician in Kent, Washington. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
8725 S 212th St Bldg EKent, WA 98031-1921
Phone: (425) 658-3017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1417635335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 10, 2023 |
| Last updated in NPPES | July 10, 2023 |
| Certification date | July 10, 2023 |
| Mailing address | 8725 S 212th St, Kent, WA 98031-1921 |
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8725 S 212th St, Kent, WA 98031-1921 · (425) 658-3016
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Brooklen Gloria Weekley
8725 S 212th St, Kent, WA 98031-1921 · (425) 658-3017