Samanda Justine Wallace
Samanda Justine Wallace is a Behavior Technician in Gastonia, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2675 Court DrGastonia, NC 28054-1478
Phone: (704) 824-7800
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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 | 1598358426 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 11, 2021 |
| Last updated in NPPES | January 26, 2022 |
| Certification date | January 26, 2022 |
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