Tyler Wallace
Tyler Wallace is a Behavior Technician in Port Saint Lucie, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
247 SW Port St Lucie BlvdPort Saint Lucie, FL 34984-5015
Phone: (772) 207-1356
Fax: (772) 742-2924
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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 | 1639747579 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 16, 2021 |
| Last updated in NPPES | June 16, 2021 |
| Certification date | June 16, 2021 |
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