Breanna Julia Wallace
Breanna Julia Wallace is a Behavior Technician in San Mateo, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
424 Peninsula AveSan Mateo, CA 94401-1653
Phone: (650) 286-4396
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1598478703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 3, 2023 |
| Last updated in NPPES | January 3, 2023 |
| Certification date | January 3, 2023 |
| Mailing address | 424 Peninsula Ave, San Mateo, CA 94401-1653 |
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