Individual
DR. ROBERT JOHN WALLANDER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA-D
Contact information
Practice address
8706 BLOSSOM LN, LOUISVILLE, KY 40242-3104
(502) 565-8189
Mailing address
8706 BLOSSOM LN, LOUISVILLE, KY 40242-3104
(502) 565-8189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-0535
—
103K00000X
Behavior Analyst
KY-0041
KY
Other
Enumeration date
12/24/2007
Last updated
06/08/2015
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