Tiffani Wallace
Tiffani Wallace is a Behavior Technician in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2020.
- Licensed in
- NM
- In the registry since
- 2020
Practice location Address checks out
4001 Ofc Court DR Ste 706Santa Fe, NM 87507-4958
Phone: (505) 395-9611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (NM) |
|---|
Record details
| NPI number | 1205422151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 15, 2020 |
| Last updated in NPPES | December 15, 2020 |
| Certification date | December 15, 2020 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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