Jody Ann Wallace
Jody Ann Wallace is a Behavior Technician in Davie, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
8001 SW 36th St Ste 9Davie, FL 33328-1915
Phone: (954) 577-7790
Fax: (954) 577-7780
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1396471967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2022 |
| Last updated in NPPES | July 26, 2022 |
| Certification date | July 26, 2022 |
| Mailing address | 8001 Sw 36th St Ste 9, Davie, FL 33328-1915 |
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8001 SW 36th St Ste 9, Davie, FL 33328-1915 · (954) 577-7790