Maysa Louise Wallace
Maysa Louise Wallace is a Behavior Technician in Pomona, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
801 Corporate Center Dr Ste 210Pomona, CA 91768-2627
Phone: (909) 634-3974
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1790484285 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 23, 2023 |
| Last updated in NPPES | February 23, 2023 |
| Certification date | February 23, 2023 |
| Mailing address | 801 Corporate Center Dr Ste 210, Pomona, CA 91768-2627 |
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