Johnny Wallace Jr.
Johnny Wallace Jr. is a Behavior Analyst in Gardena, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1411 W 190th StGardena, CA 90248-4324
Phone: (562) 210-6842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1750021978 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2022 |
| Last updated in NPPES | March 29, 2022 |
| Certification date | March 29, 2022 |
| Mailing address | 1411 W 190th St, Gardena, CA 90248-4324 |
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