Mr. Jesse Wallace Jr.
Mr. Jesse Wallace Jr. is a Behavior Technician in Deerfield Beach, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
350 Fairway Dr Ste 101Deerfield Beach, FL 33441-1834
Phone: (877) 418-2978
Fax: (866) 500-2186
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1700535358 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2022 |
| Last updated in NPPES | March 21, 2022 |
| Certification date | March 21, 2022 |
| Mailing address | 2457 Pointmere Dr, Harvey, LA 70058-2152 |
Other providers in Deerfield Beach
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Brianna Waldrep
350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 · (877) 418-2978
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Ebony Walker
500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 · (877) 418-2978
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Enjole Walker
350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 · (877) 418-2978
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Jasmyne Simone Walker
350 Fairway Dr Ste 101, Deerfield Beach, FL 33441 · (888) 880-9270
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Reuven Wallack
350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 · (877) 418-2978
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Erika Walton
350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 · (877) 418-2978
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Savannah Kylie Ward
350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 · (877) 418-2978
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Shakira Lashonda Ware
350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 · (877) 418-2978