Kyra S Wallace
Kyra S Wallace is a Behavior Technician in Ypsilanti, Michigan. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2111 Golfside RdYpsilanti, MI 48197-1145
Phone: (488) 468-7002
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1326806399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 13, 2024 |
| Last updated in NPPES | March 13, 2024 |
| Certification date | March 13, 2024 |
| Mailing address | 525 2nd St, Ypsilanti, MI 48197-5121 |
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