Tim Wallace
Tim Wallace is a Behavior Technician in Alameda, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1025 Atlantic Ave Ste 101Alameda, CA 94501-1188
Phone: (510) 268-8120
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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 | 1790322840 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 9, 2019 |
| Last updated in NPPES | December 9, 2019 |
| Certification date | December 9, 2019 |
| Mailing address | 850 Russell Ave Apt D1, Santa Rosa, CA 95403-2106 |
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