Madison Wallace
Madison Wallace is a Behavior Technician in Portland, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1025 SE 11th Ave Apt 302Portland, OR 97214-2482
Phone: (503) 686-1786
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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 | 1417503657 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 13, 2019 |
| Last updated in NPPES | August 13, 2019 |
| Mailing address | 1025 Se 11th Ave Apt 302, Portland, OR 97214-2482 |
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