Randall Thomas Wallace
Randall Thomas Wallace is a Behavior Technician in Traverse City, Michigan. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
10781 E Cherry Bend RdTraverse City, MI 49684-5249
Phone: (231) 492-8420
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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 | 1801735790 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 26, 2026 |
| Last updated in NPPES | March 26, 2026 |
| Certification date | March 26, 2026 |
| Mailing address | 2435 Slocum Rd, Kingsley, MI 49649-9691 |
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