Nicole L Wallace, IS
Nicole L Wallace, IS is an Assistant Behavior Analyst in Idaho Falls, Idaho. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2185 Koro AveIdaho Falls, ID 83404-6226
Phone: (520) 233-3382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assistant Behavior Analyst (primary) | Taxonomy 106E00000X |
|---|
Record details
| NPI number | 1083446405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | IS |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 14, 2024 |
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