Shanae L Wallace, BI
Shanae L Wallace, BI is a Behavior Technician in Pasadena, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
50 N Hill Ave Ste 100Pasadena, CA 91106-1949
Phone: (714) 876-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1952982431 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BI |
| Sole proprietor | No |
| NPI enumerated | April 16, 2021 |
| Last updated in NPPES | April 16, 2021 |
| Certification date | April 16, 2021 |
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