De'Ja Wallace
De'Ja Wallace is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
13195 SW 134th St Ste 201Miami, FL 33186-4585
Phone: (786) 206-6500
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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 | 1790425809 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2022 |
| Last updated in NPPES | April 10, 2023 |
| Certification date | April 10, 2023 |
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