Trevor Robert Wallace
Trevor Robert Wallace is a Behavior Technician in Concord, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1855 2nd St Ste BConcord, CA 94519-2623
Phone: (855) 223-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-18-73306 (CA) |
|---|
Record details
| NPI number | 1609343870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 25, 2018 |
| Last updated in NPPES | December 17, 2018 |
| Mailing address | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 |
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